| Dr David Jeffrey Eisenstein, MD | |
|
4500 Memorial Dr, Dept Pathology, Belleville, IL 62226-5360 | |
| (618) 233-7750 | |
| (314) 747-1710 |
| Full Name | Dr David Jeffrey Eisenstein |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 37 Years |
| Location | 4500 Memorial Dr, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598757031 | NPI | - | NPPES |
| 200016959 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036136527 (Illinois) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 036136527 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Jeffrey Eisenstein, MD 660 S Euclid Ave, Cb 8118, Saint Louis, MO 63110-1010 Ph: (314) 362-5641 | Dr David Jeffrey Eisenstein, MD 4500 Memorial Dr, Dept Pathology, Belleville, IL 62226-5360 Ph: (618) 233-7750 |
Dr. Vidya Deshpande, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 45 Sheffield Drive, Belleville, IL 62243 Phone: 618-235-0777 Fax: 618-233-8335 | |
Dr. Olivia Jo Ludwig, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Christopher Murphy, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Dolph D Haege, MD Pathology Medicare: Medicare Enrolled Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Alexander David Pederson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Dept Of Pathology, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4630 | |
Frank Pikul, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 613 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-233-6975 Fax: 618-233-9047 |