Ehrentraud Johanna Eichelbaum, MD - Medicare General Practice in Katy, TX

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Ehrentraud Johanna Eichelbaum, MD is a medicare enrolled "General Practice" physician in Katy, Texas. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as General Practice. She is a member of the group practice C3 Wellness Llc and her current practice location is 21685 Kingsland Blvd, Katy, Texas. You can reach out to her office (for appointments etc.) via phone at (346) 594-2104.

Ehrentraud Johanna Eichelbaum is licensed to practice in Texas (license number U7674) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255518486.

Contact Information

Ehrentraud Johanna Eichelbaum, MD
21685 Kingsland Blvd,
Katy, TX 77450-2512
(346) 594-2104
(346) 594-2103

Map and Direction




Physician's Profile

Full NameEhrentraud Johanna Eichelbaum
GenderFemale
SpecialityGeneral Practice
Experience38 Years
Location21685 Kingsland Blvd, Katy, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ehrentraud Johanna Eichelbaum graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1255518486
  • Provider Enumeration Date: 01/30/2008
  • Last Update Date: 07/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779700836
  • Enrollment ID: I20140813001547

Medical Identifiers

Medical identifiers for Ehrentraud Johanna Eichelbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255518486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery U7674 (Texas)Secondary
208D00000XGeneral Practice 18573 (Puerto Rico)Secondary
208D00000XGeneral Practice U7674 (Texas)Primary
208D00000XGeneral Practice ME140028 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
C3 Wellness Llc13556055024

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. Ehrentraud Johanna Eichelbaum allows following entities to bill medicare on her behalf.
Entity NameLowell F. Clark MD PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629278882
PECOS PAC ID: 7416918370
Enrollment ID: O20041023000143
Entity NameC3 Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811490287
PECOS PAC ID: 1355605502
Enrollment ID: O20190806000105
Entity NameLake Nona Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285296798
PECOS PAC ID: 3870825888
Enrollment ID: O20191024000727

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. Ehrentraud Johanna Eichelbaum 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 AddressPractice Location Address
Ehrentraud Johanna Eichelbaum, MD
8514 Sun Coral Dr,
Cypress, TX 77433-7529

Ph: (941) 779-4869		Ehrentraud Johanna Eichelbaum, MD
21685 Kingsland Blvd,
Katy, TX 77450-2512

Ph: (346) 594-2104

Reviews and Comments


General Practice Doctors in Katy, TX

Kevanic Rossler, MD
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Phone: 281-578-5479    Fax: 281-578-9704
Dr. Tewodros Woldemariam Teketel, M.D.
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Dr. Edward Fred Bartsch, MD
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Medicare: Not Enrolled in Medicare
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Phone: 281-391-3185    Fax: 281-391-3749
Dr. Steven Forrest Hotze, M.D.
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Practice Location: 20214 Braidwood Dr Ste 215, Katy, TX 77450
Phone: 281-579-3600    Fax: 281-579-2467

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.