Dr Alexander Mark Eisen, DO - Medicare Pediatrics in Enterprise, AL

Dr Alexander Mark Eisen, DO is a medicare enrolled "Pediatrics" physician in Enterprise, Alabama. His current practice location is 105 E Watts St, Enterprise, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 393-5437.

Dr Alexander Mark Eisen is licensed to practice in Alabama (license number DO.1311) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366490682.

Contact Information

Dr Alexander Mark Eisen, DO
105 E Watts St,
Enterprise, AL 36330-2511
(334) 393-5437
(334) 393-4185



Physician's Profile

Full NameDr Alexander Mark Eisen
GenderMale
SpecialityPediatrics
Location105 E Watts St, Enterprise, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366490682
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 03/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204186133
  • Enrollment ID: I20180913002158

Medical Identifiers

Medical identifiers for Dr Alexander Mark Eisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366490682NPI-NPPES
0102201876MedicaidVA
146239MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0102201876 (Virginia)Secondary
208000000XPediatrics 5800150 (Ohio)Secondary
208D00000XGeneral Practice 0102201876 (Virginia)Secondary
208000000XPediatrics DO.1311 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alexander Mark Eisen allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Associates Pa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20070919000389

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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. Dr Alexander Mark Eisen 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 AddressPractice Location Address
Dr Alexander Mark Eisen, DO
1414 Elba Hwy,
Troy, AL 36079-6020

Ph: (334) 670-6726
Dr Alexander Mark Eisen, DO
105 E Watts St,
Enterprise, AL 36330-2511

Ph: (334) 393-5437

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Pediatrics Doctors in Enterprise, AL

Dr. Rodd Daniel Whitaker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 101 Professional Lane, Enterprise, AL 36330
Phone: 334-347-3404    Fax: 334-393-0613
Norma P Samuy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 105 E Watts St, Enterprise, AL 36330
Phone: 334-393-5437    Fax: 334-393-4185
Nola Jean Ernest, M.D., PH.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 526 Boll Weevil Cir, Enterprise Pediatric Clinic, Enterprise, AL 36330
Phone: 334-308-1166    Fax: 334-308-1019
Dr. William A Gammill, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330
Phone: 334-393-3686    Fax: 334-347-4906
Dr. Maria Aurora Canlas Sucgang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 101 Professional Ln, Enterprise, AL 36330
Phone: 334-347-3404    Fax: 334-393-0613
Mrs. Jamie T. Hixon-griffin, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 526 Boll Weevil Cir, Enterprise, AL 36330
Phone: 334-308-1166    Fax: 334-308-1019

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