| Dr Richard N Eisen, MD | |
|
5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | |
| (602) 685-5211 | |
| (602) 685-5325 |
| Full Name | Dr Richard N Eisen |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 41 Years |
| Location | 5555 W Thunderbird Rd, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023032190 | NPI | - | NPPES |
| 039165 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 50419 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Larkin Community Hospital | South miami, FL | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Specialist Of Arizona, Llp | 4789583188 | 64 |
| Ancillary Pathways Llc | 6608113394 | 4 |
| Entity Name | Pathology Specialist Of Arizona, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174503999 PECOS PAC ID: 4789583188 Enrollment ID: O20040105000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard N Eisen, MD Po Box 42210, Phoenix, AZ 85080-2210 Ph: (623) 266-7770 | Dr Richard N Eisen, MD 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 Ph: (602) 685-5211 |
Dr. Mark A Wasylenko, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-685-5211 Fax: 602-685-5325 | |
Dr. Gregory G Coons, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-685-5211 Fax: 623-889-7407 | |
Dr. Cyenthia Louise Koehler, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 602-685-5211 Fax: 602-685-5325 | |
Dr. Deborah S. Gelbspan, M.D., MBA, FCAP Pathology Medicare: Not Enrolled in Medicare Practice Location: 5422 W Thunderbird Rd, Suite 13, Glendale, AZ 85306 Phone: 602-547-1024 |