Evan R Eisenberg, MD is a medicare enrolled "Urology" physician in Seaford, New York. He went to State University Of New York Downstate Medical Center and graduated in 2001 and has 24 years of diverse experience with area of expertise as Urology. He is a member of the group practice Integrated Medical Professionals Pllc and his current practice location is
4100 Duff Pl, Suite A, Seaford, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 520-8080.
Evan R Eisenberg is licensed to practice in New York (license number 236718) 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 1750315883.
Physician's Profile
| Full Name | Evan R Eisenberg |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 24 Years |
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| Location | 4100 Duff Pl, Seaford, New York |
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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. |
Medical Education and Training:
- Evan R Eisenberg attended and graduated from State University Of New York Downstate Medical Center in 2001
NPI Data:
- NPI Number: 1750315883
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 04/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 8921001660
- Enrollment ID: I20060817000530
Medical Identifiers
Medical identifiers for Evan R Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750315883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 236718 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Integrated Medical Professionals Pllc | 6406868462 | 91 |
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. Evan R Eisenberg allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Medical Professionals Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346203536 PECOS PAC ID: 6406868462 Enrollment ID: O20060613000088 |
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| Entity Name | Hudson Valley Lithotripsy Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437242781 PECOS PAC ID: 4183078603 Enrollment ID: O20231002001672 |
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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. Evan R Eisenberg 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 |
Evan R Eisenberg, MD 532 Broadhollow Road, Suite 142, Melville, NY 11747 Ph: (516) 931-0041 | Evan R Eisenberg, MD 4100 Duff Pl, Suite A, Seaford, NY 11783-1324 Ph: (516) 520-8080 |
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