| Kirsten Debra Eisenhower, CRNP | |
|
805 N Richmond St, Fleetwood, PA 19522-1058 | |
| (610) 944-0464 | |
| Not Available |
| Full Name | Kirsten Debra Eisenhower |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 805 N Richmond St, Fleetwood, Pennsylvania |
| 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 |
|---|---|---|---|
| 1174092191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP019507 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Reading, PA | Hospital |
| Reading Hospital | West reading, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| St Joseph Medical Group | 3779688650 | 177 |
| Entity Name | St Joseph Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184754657 PECOS PAC ID: 3779688650 Enrollment ID: O20070421000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Debra Eisenhower, CRNP 805 N Richmond St, Fleetwood, PA 19522-1058 Ph: (610) 944-0464 | Kirsten Debra Eisenhower, CRNP 805 N Richmond St, Fleetwood, PA 19522-1058 Ph: (610) 944-0464 |
Khyatiben B Patel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Jessica Momose, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Linda Breidigam, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Miss Lee Ann Josette Klocko, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 | |
Brittany Moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Crystal Lee Brickner, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21 Dogwood Dr, Fleetwood, PA 19522 Phone: 610-745-5632 |