| Dr Hailey Sam Eisner, DO | |
| 300 Hillmont Ave Ste 401, Ventura, CA 93003-1651 | |
| (805) 652-6201 | |
| Not Available | 
| Full Name | Dr Hailey Sam Eisner | 
|---|---|
| Gender | Female | 
| Speciality | Urology | 
| Location | 300 Hillmont Ave Ste 401, Ventura, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154771285 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 5101022630 (Michigan) | Secondary | 
| 208800000X | Urology | 21344 (California) | Primary | 
| Entity Name | County Of Ventura | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Hailey Sam Eisner, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8864 | Dr Hailey Sam Eisner, DO 300 Hillmont Ave Ste 401, Ventura, CA 93003-1651 Ph: (805) 652-6201 | 
| Michael Poon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Loma Vista Rd Ste 206, Ventura, CA 93003 Phone: 805-643-4067 | |
| Christopher Dru, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Bldg 340, Ventura, CA 93003 Phone: 805-652-6210 | |
| Seyed Mohammad Reza Khoddami, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003 Phone: 805-643-4067 Fax: 805-643-4587 | |
| Dr. Cedric B Emery, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2807 Loma Vista Rd, Suite 101, Ventura, CA 93003 Phone: 805-653-1533 Fax: 805-653-1536 | |
| Dr. William T Klope, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2755 Loma Vista Rd, Ventura, CA 93003 Phone: 805-641-3689 Fax: 805-641-9538 | |
| Dr. Marc A Beaghler, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Loma Vista Rd, Ste 206, Ventura, CA 93003 Phone: 805-643-4067 Fax: 805-648-5612 |