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Steven B. Eisenberg

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as STEVEN EISENBERG.

Based on the most recent information from CMS, provider Steven B. Eisenberg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073512513
Provider Type
Individual
Full Name
Eisenberg, Steven B.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/18/2005
Last Updated
11/6/2020

Contact Information

Practice Location

6411 Fannin St, Houston, TX 77030-1501

(713) 850-1190

(713) 850-1327

Mailing Location

PO Box 6002, Provider Enrollment - Ncw4, Urbana, IL 61803-6002

(217) 383-6792

(217) 326-2856

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License G3324 Texas

Provider Identifiers

ID	Description	Issuer
ID 122813205	Description Medicaid	Issuer Unlisted Texas

Steven B. Eisenberg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ho, Jonathan K

Reardon, Michael Joseph

Shafii, Alexis Edward

La Francesca, Saverio

Ishigami, Shuta

Sarfaraz, Ziyab

Antonoff, Mara Beth

Barron, Lauren K. M.

Moon, Marc R

Safi, Hazim