| Jeanne Nicole Eisenbrown, MD | |
|
619 S 8th St Ste 304, Griffin, GA 30224-4260 | |
| (706) 242-5201 | |
| (706) 242-5204 |
| Full Name | Jeanne Nicole Eisenbrown |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 619 S 8th St Ste 304, Griffin, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750376323 | NPI | - | NPPES |
| 264546700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME84013 (Florida) | Secondary |
| 208800000X | Urology | CDR.0004775 (Colorado) | Secondary |
| 208800000X | Urology | 97508 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
| Union Hospital Inc | Terre haute, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne Nicole Eisenbrown, MD 619 S 8th St Ste 304, Griffin, GA 30224-4260 Ph: (706) 242-5201 | Jeanne Nicole Eisenbrown, MD 619 S 8th St Ste 304, Griffin, GA 30224-4260 Ph: (706) 242-5201 |
Kelly Eugene Bewsey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St Ste 304, Griffin, GA 30224 Phone: 470-267-2940 | |
Dr. Peter Tuan Tran, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 619 S 8th St Ste 200, Griffin, GA 30224 Phone: 470-267-2940 |