Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Thomas Eisenhauer Jr., MD

Individual provider Internal Medicine Physician · NPI 1801419551

Peter Thomas Eisenhauer Jr., MD is an Internal Medicine in Wellsboro, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
6
Licensed in
NY, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Plaza Ln
Wellsboro, PA 16901-1773
Phone: (570) 724-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD480212 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 321716 (NY)

Record details

NPI number1801419551
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address110 Plaza Ln, Wellsboro, PA 16901-1773

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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