Nicholas Y Eisenberg, MD is a medicare enrolled "Internal Medicine" physician in Cannon Afb, New Mexico. His current practice location is
224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 681-3917.
Nicholas Y Eisenberg is licensed to practice in Ohio (license number 35.146152) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457981649.
Physician's Profile
Full Name | Nicholas Y Eisenberg |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 224 W D.l. Ingram Ave, Cannon Afb, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457981649
- Provider Enumeration Date: 01/16/2020
- Last Update Date: 08/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597196188
- Enrollment ID: I20200514002737
Medical Identifiers
Medical identifiers for Nicholas Y Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457981649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35.146152 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Y Eisenberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicholas Y Eisenberg, MD 224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103-5103 Ph: () - | Nicholas Y Eisenberg, MD 224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103-5103 Ph: (575) 681-3917 |
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