| Joseph Ivan Eichenseher, MD | |
| 592 Park Ln, Madison, WI 53711-1654 | |
| (608) 334-0515 | |
| Not Available | 
| Full Name | Joseph Ivan Eichenseher | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 592 Park Ln, Madison, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164628590 | NPI | - | NPPES | 
| 1164628590 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 64099-20 (Wisconsin) | Primary | 
| Entity Name | Providence Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 | 
| Entity Name | Santa Rosa Community Health Centers | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph Ivan Eichenseher, MD 592 Park Ln Ste 120, Madison, WI 53711-1654 Ph: () - | Joseph Ivan Eichenseher, MD 592 Park Ln, Madison, WI 53711-1654 Ph: (608) 334-0515 | 
| Parker Hoerz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3434 E Washington Ave, Madison, WI 53704 Phone: 608-443-5480 | |
| Rebecca Bull, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
| George F Leydon Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
| Maria Z Din, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-252-8283 | |
| Caitlin J Regner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 S Park St, Madison, WI 53715 Phone: 608-263-3111 Fax: 608-263-6663 | |
| Dr. Eartha Zoe Taylor, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 345 W Washington Ave Ste 100, Madison, WI 53703 Phone: 608-417-8300 | |
| Ms. Jessica Poirier,  Family Medicine Medicare: Medicare Enrolled Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-260-6366 |