Joseph Ivan Eichenseher, MD | |
592 Park Ln, Madison, WI 53711-1654 | |
(608) 334-0515 | |
Not Available |
Full Name | Joseph Ivan Eichenseher |
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Gender | Male |
Speciality | Family Medicine |
Location | 592 Park Ln, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164628590 | NPI | - | NPPES |
1164628590 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64099-20 (Wisconsin) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Santa Rosa Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
Mailing Address | Practice Location Address |
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Joseph Ivan Eichenseher, MD 592 Park Ln Ste 120, Madison, WI 53711-1654 Ph: () - | Joseph Ivan Eichenseher, MD 592 Park Ln, Madison, WI 53711-1654 Ph: (608) 334-0515 |
Parker Hoerz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3434 E Washington Ave, Madison, WI 53704 Phone: 608-443-5480 | |
Rebecca Bull, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
George F Leydon Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
Maria Z Din, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-252-8283 | |
Caitlin J Regner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 S Park St, Madison, WI 53715 Phone: 608-263-3111 Fax: 608-263-6663 | |
Danalyn K Rayner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7102 Mineral Point Rd, Madison, WI 53717 Phone: 608-828-7603 Fax: 608-828-7644 | |
Rosa A Gilestra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-260-6161 |