Jeffrey Michael Eichenlaub, MSN APRN, FNP-C in Southfield, MI

Jeffrey Michael Eichenlaub, MSN APRN, FNP-C is a medicare enrolled "Nurse Practitioner" in Southfield, Michigan. His current practice location is 22250 Providence Dr Ste 500, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 849-3441.

Jeffrey Michael Eichenlaub is licensed to practice in Michigan (license number 4704252514) 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 1174256747.

Contact Information

	Jeffrey Michael Eichenlaub, MSN APRN, FNP-C
	22250 Providence Dr Ste 500, Southfield, MI 48075-6213
	(248) 849-3441
	(248) 849-5389

Map and Direction

Provider's Profile

Full Name	Jeffrey Michael Eichenlaub
Gender	Male
Speciality	Nurse Practitioner
Location	22250 Providence Dr Ste 500, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174256747
Provider Enumeration Date: 07/01/2022
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3274917521
Enrollment ID: I20220906000550

Medical Identifiers

Medical identifiers for Jeffrey Michael Eichenlaub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174256747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704252514 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeffrey Michael Eichenlaub allows following entities to bill medicare on his behalf.

Entity Name	Ascension Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127

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. Jeffrey Michael Eichenlaub 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
Jeffrey Michael Eichenlaub, MSN APRN, FNP-C 630 Hartland Dr, Troy, MI 48083-5183 Ph: (248) 835-9019	Jeffrey Michael Eichenlaub, MSN APRN, FNP-C 22250 Providence Dr Ste 500, Southfield, MI 48075-6213 Ph: (248) 849-3441

Reviews and Comments

Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536

Jeffrey Michael Eichenlaub, MSN APRN, FNP-C - Medicare Nurse Practitioner in Southfield, MI