Dr Theodore E Eisenstat, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Edison, New Jersey. He went to New York Medical College and graduated in 1968 and has 56 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Rutgers Health-rwj Neurosurgery Faculty and his current practice location is
3900 Park Ave, Suite 101, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 494-6640.
Dr Theodore E Eisenstat is licensed to practice in New Jersey (license number 25MA024994100) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619948536.
Physician's Profile
| Full Name | Dr Theodore E Eisenstat |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 56 Years |
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| Location | 3900 Park Ave, Edison, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Theodore E Eisenstat attended and graduated from New York Medical College in 1968
NPI Data:
- NPI Number: 1619948536
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719922046
- Enrollment ID: I20050627000791
Medical Identifiers
Medical identifiers for Dr Theodore E Eisenstat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619948536 | NPI | - | NPPES |
| 1595008 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 25MA02494100 (New Jersey) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 25MA024994100 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rutgers Health-rwj Neurosurgery Faculty | 4587613443 | 95 |
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. Dr Theodore E Eisenstat allows following entities to bill medicare on his behalf.
| Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083738637
PECOS PAC ID: 4587613443
Enrollment ID: O20050118000611 |
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| Entity Name | Rutgers Health-rwj Surgery Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548356926
PECOS PAC ID: 6507803210
Enrollment ID: O20050414000264 |
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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. Dr Theodore E Eisenstat 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 |
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Dr Theodore E Eisenstat, MD
3900 Park Ave, Suite 101,
Edison, NJ 08820-3032
Ph: (732) 494-6640 | Dr Theodore E Eisenstat, MD
3900 Park Ave, Suite 101,
Edison, NJ 08820-3032
Ph: (732) 494-6640 |
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