| Dr Derek L Eisnor, MD | |
|
2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 | |
| (321) 254-6218 | |
| (321) 254-6230 |
| Full Name | Dr Derek L Eisnor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2080 W Eau Gallie Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992735005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0074231 (Florida) | Primary |
| Entity Name | Pensacola Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801841473 PECOS PAC ID: 3173582624 Enrollment ID: O20041008000951 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Venado Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134538077 PECOS PAC ID: 2961724745 Enrollment ID: O20141205000598 |
| Entity Name | Gilford Sound Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760996300 PECOS PAC ID: 3678833951 Enrollment ID: O20180206000656 |
| Entity Name | Lake Oliver Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013675016 PECOS PAC ID: 4688060940 Enrollment ID: O20220413002299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek L Eisnor, MD 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 Ph: (321) 254-6218 | Dr Derek L Eisnor, MD 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-3185 Ph: (321) 254-6218 |
Corey Alvarez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Milton Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 N Wickham Rd, Melbourne, FL 32935 Phone: 800-476-8646 Fax: 919-382-3210 | |
Dr. Elisha Anne Montgomery, MBBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 W. Hibiscus Blvd St 215, Melbourne, FL 32901 Phone: 213-802-6860 | |
Dr. Marty R Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory Street, Melbourne, FL 32901 Phone: 321-254-6218 Fax: 321-254-6218 | |
Johnny J Vazquez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory Street, Melbourne, FL 32901 Phone: 321-254-6218 Fax: 321-254-6230 | |
Vinay K Mehindru, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935 Phone: 321-254-6218 Fax: 321-254-6230 | |
Dana Mathew, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-7000 |