| Dr Randy Earl Eisenhut, MD | |
|
6551 Centerville Business Pkwy Ste 110, Dayton, OH 45459-2696 | |
| (937) 291-6850 | |
| (947) 291-6896 |
| Full Name | Dr Randy Earl Eisenhut |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 27 Years |
| Location | 6551 Centerville Business Pkwy Ste 110, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1174580948 | NPI | - | NPPES |
| 0817638 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35058652E (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dayton Childrens Specialty Physicians Inc | 5496916124 | 77 |
| Entity Name | Premier Integrated Medical Assoc Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811953052 PECOS PAC ID: 9032101399 Enrollment ID: O20040409000393 |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Earl Eisenhut, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3555 | Dr Randy Earl Eisenhut, MD 6551 Centerville Business Pkwy Ste 110, Dayton, OH 45459-2696 Ph: (937) 291-6850 |
Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107 | |
Tanya Paul, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515 | |
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885 | |
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500 | |
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 |