Nicholas Y Eisenberg, MD is a medicare enrolled "Internal Medicine" physician in Cannon Afb, New Mexico. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2020 and has 5 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
224 W D.l. Ingram Ave, Bldg 1408, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 681-3917.
Nicholas Y Eisenberg is licensed to practice in Ohio (license number 35.146152) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457981649.
Physician's Profile
| Full Name | Nicholas Y Eisenberg |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 5 Years |
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| Location | 224 W D.l. Ingram Ave, Cannon Afb, New Mexico |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicholas Y Eisenberg attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2020
NPI Data:
- NPI Number: 1457981649
- Provider Enumeration Date: 01/16/2020
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597196188
- Enrollment ID: I20250625004327
Medical Identifiers
Medical identifiers for Nicholas Y Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457981649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD2024-0097 (New Mexico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 35.146152 (Ohio) | Primary |
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. Nicholas Y 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 |
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Nicholas Y Eisenberg, MD
224 W D.l. Ingram Ave, Bldg 1408,
Cannon Afb, NM 88103-5103
Ph: () - | Nicholas Y Eisenberg, MD
224 W D.l. Ingram Ave, Bldg 1408,
Cannon Afb, NM 88103-5103
Ph: (575) 681-3917 |
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