Thomas A Eiseman, MD | |
25 N Winfield Road, Winfield, IL 60190 | |
(630) 933-4700 | |
(630) 933-4721 |
Full Name | Thomas A Eiseman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 25 N Winfield Road, Winfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073514360 | NPI | - | NPPES |
3631498336019001 | Other | IL | HFS GROUP PAYEE ID |
P00884750 | Other | MEDICARE RAILROAD PTAN (INDIVIDUAL) | |
0222075 | Other | IL | BLUE CROSS GROUP ID |
036102548 | Medicaid | IL | |
206147 | Other | IL | MEDICARE GROUP PTAN |
CA4748 | Other | MEDICARE RAILROAD PTAN (GROUP) | |
1033149844 | Other | IL | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036102548 (Illinois) | Primary |
207R00000X | Internal Medicine | 036102548 (Illinois) | Secondary |
Entity Name | Central Dupage Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619074028 PECOS PAC ID: 5597763706 Enrollment ID: O20061127000063 |
Entity Name | Midwest Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Eiseman, MD 25 N. Winfield Road, Winfield, IL 60190 Ph: (630) 933-4700 | Thomas A Eiseman, MD 25 N Winfield Road, Winfield, IL 60190 Ph: (630) 933-4700 |
Kevin J. Aister, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25 N. Winfield Road, Winfield, IL 60190 Phone: 630-933-2640 | |
Meta Carroll, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-1602 | |
Dr. Matthew W Collander, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25 North Winfield Rd, Central Dupage Hospital - Dept Of Emergency Medicine, Winfield, IL 60190 Phone: 630-933-2600 | |
Joseph Boyle, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 N. Winfield Road, Winfield, IL 60190 Phone: 630-933-2640 | |
Stephen Graham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25 N Winfield Road, Winfield, IL 60190 Phone: 630-933-2640 | |
Herbert Sutherland, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25 N. Winfield Road, Winfield, IL 60190 Phone: 630-933-2640 |