| Mr Justin Michael Eisenhauer, PA-C | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6412 | |
| Not Available |
| Full Name | Mr Justin Michael Eisenhauer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 33-57 Harrison St, Johnson City, New York |
| 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 |
|---|---|---|---|
| 1083214332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 025837 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tjh Medical Services Pc | 8527960533 | 215 |
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2809 |
| Entity Name | United Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | Tjh Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750647152 PECOS PAC ID: 2264691070 Enrollment ID: O20130920000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Michael Eisenhauer, PA-C 33 Lewis Rd Ste 2, Binghamton, NY 13905-1040 Ph: (607) 770-0025 | Mr Justin Michael Eisenhauer, PA-C 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6412 |
Camryn Perri, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |
Mrs. Mary L Barr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Arch Street, Johnson City, NY 13790 Phone: 607-729-2121 Fax: 607-798-7751 |
Nicholas John Tarnowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |
Katherine M Nichols, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-5494 Fax: 607-763-5116 |
Mr. Timothy D Keyes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790 Phone: 607-763-6580 |
Danielle Tchir Kappel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |
Mr. Connor Wasilnak, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790 Phone: 607-763-6580 Fax: 607-763-6782 |