Bryan Ebert, MD in Newtown Square, PA

Bryan Ebert, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Newtown Square, Pennsylvania. His current practice location is 3805 W Chester Pike, Building D, Suite 120, Newtown Square, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 550-3000.

Bryan Ebert is licensed to practice in New York (license number 235059) 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 1871716092.

Contact Information

	Bryan Ebert, MD
	3805 W Chester Pike, Building D, Suite 120, Newtown Square, PA 19073-2329
	(610) 550-3000
	(610) 550-3079

Map and Direction

Physician's Profile

Full Name	Bryan Ebert
Gender	Male
Speciality	Pathology - Dermatopathology
Location	3805 W Chester Pike, Newtown Square, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871716092
Provider Enumeration Date: 04/10/2007
Last Update Date: 06/09/2015

Medicare PECOS Information:

PECOS PAC ID: 3870688989
Enrollment ID: I20240521000242

Medical Identifiers

Medical identifiers for Bryan Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871716092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	235059-1 (New York)	Secondary
207ZD0900X	Pathology - Dermatopathology	235059 (New York)	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. Bryan Ebert allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Gslpg, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763

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. Bryan Ebert 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 Address	Practice Location Address
Bryan Ebert, MD 3805 W Chester Pike, Building D, Suite 120, Newtown Square, PA 19073-2329 Ph: (610) 550-3000	Bryan Ebert, MD 3805 W Chester Pike, Building D, Suite 120, Newtown Square, PA 19073-2329 Ph: (610) 550-3000

Reviews and Comments

Pathology Doctors in Newtown Square, PA

Dr. Ann Minehan Ainsworth, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 35 Horseshoe Ln, Newtown Square, PA 19073 Phone: 610-353-8679
Katrin Kiavash, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 Phone: 800-257-0117
Albert A Keshgegian, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 45 Sugar Maple Dr, Newtown Square, PA 19073 Phone: 610-573-3746
Dr. Susanne Nussen Lee, MD Pathology Medicare: Medicare Enrolled Practice Location: 3805 W Chester Pike Bldg D, Suite 120, Newtown Square, PA 19073 Phone: 800-257-0117 Fax: 610-550-3079
Dr. Lawrence David Hall, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073 Phone: 800-257-0117 Fax: 610-550-3079
Mary Katherine Mcgonagle, D.O. Pathology Medicare: Medicare Enrolled Practice Location: 3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073 Phone: 800-257-0117 Fax: 610-550-3079

Bryan Ebert, MD - Medicare Pathology in Newtown Square, PA