Barbara Eileen Ebert, MD is a
Dermatology physician based in Moultrie, Georgia. Barbara Eileen Ebert is licensed to practice in Georgia (license number 071730) and her current practice location is 760 26th Ave Se, Moultrie, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 502-9710.
NPI number for Barbara Eileen Ebert is 1558319301 and her current mailing address is Po Box 3864, Moultrie, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558319301.
Physician's Profile
| Full Name | Barbara Eileen Ebert |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 760 26th Ave Se, Moultrie, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558319301
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Barbara Eileen Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558319301 | NPI | - | NPPES |
| 003147858D | Medicaid | GA | |
| 202I075536 | Other | GA | MEDICARE PTAN |
| 003147858B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 071730 (Georgia) | Primary |
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. Barbara Eileen Ebert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Barbara Eileen Ebert, MD
Po Box 3864,
Moultrie, GA 31776-3864
Ph: (229) 502-9710 | Barbara Eileen Ebert, MD
760 26th Ave Se,
Moultrie, GA 31768-6799
Ph: (229) 502-9710 |
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