Robert Jeffrey Eisenach, MD | |
4202 S University Ave, Little Rock, AR 72204-7841 | |
(501) 562-4838 | |
(501) 562-1958 |
Full Name | Robert Jeffrey Eisenach |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4202 S University Ave, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699767772 | NPI | - | NPPES |
51543 | Other | AR | BLUE CROSS BLUE SHIELD |
105086001 | Medicaid | AR | |
11115000000 | Other | AR | QUALCHOICE |
120031 | Other | AR | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R2327 (Arkansas) | Primary |
Entity Name | St Vincent Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
Mailing Address | Practice Location Address |
---|---|
Robert Jeffrey Eisenach, MD 4202 S University Ave, Little Rock, AR 72204-7841 Ph: (501) 562-4838 | Robert Jeffrey Eisenach, MD 4202 S University Ave, Little Rock, AR 72204-7841 Ph: (501) 562-4838 |
Dr. William Lyman Rutledge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9712 W Markham St, Little Rock, AR 72205 Phone: 501-954-8800 Fax: 501-954-8803 | |
Allan Dee Mckenzie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4523 Woodlawn Dr, Little Rock, AR 72205 Phone: 501-663-2363 Fax: 501-663-2362 | |
Dr. Steven Kyser, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-5050 | |
Kasey Renea Kane, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 S Bowman Rd, Little Rock, AR 72211 Phone: 501-558-4100 | |
Dr. William Wells Burnham, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 Fax: 501-257-5071 | |
Deipti H Trehun, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 530, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-686-8421 | |
Dr. Pham Hieu Liem, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, 748, Little Rock, AR 72205 Phone: 501-686-5944 Fax: 501-686-5884 |