Samuel R Eby, MD - Medicare Nephrology in Fort Wayne, IN

Samuel R Eby, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fort Wayne, Indiana. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Nephrology Associates Of Northern Indiana Pc and his current practice location is 7836 W Jefferson Blvd Ste 100, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 494-3484.

Samuel R Eby is licensed to practice in Indiana (license number 01032985) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043262447.

Contact Information

Samuel R Eby, MD
7836 W Jefferson Blvd Ste 100,
Fort Wayne, IN 46804-4165
(260) 494-3484
(260) 969-0188

Map and Direction




Physician's Profile

Full NameSamuel R Eby
GenderMale
SpecialityNephrology
Experience42 Years
Location7836 W Jefferson Blvd Ste 100, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel R Eby graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1043262447
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 11/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133109325
  • Enrollment ID: I20100924000786

Medical Identifiers

Medical identifiers for Samuel R Eby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043262447NPI-NPPES
100085970MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 01032985 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Northeast Indiana Kidney Center-warsawWarsaw, INDialysis facility
Parkview Regional Medical CenterFort wayne, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nephrology Associates Of Northern Indiana Pc892103344072

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. Samuel R Eby allows following entities to bill medicare on his behalf.
Entity NameNephrology Associates Of Northern Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578505814
PECOS PAC ID: 8921033440
Enrollment ID: O20051003000799
Entity NameNephrology Associates Of Northern Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124069182
PECOS PAC ID: 2163328675
Enrollment ID: O20170705000259

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. Samuel R Eby 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
Samuel R Eby, MD
120 W 22nd St Ste 200,
Oak Brook, IL 60523-1563

Ph: (630) 575-5000
Samuel R Eby, MD
7836 W Jefferson Blvd Ste 100,
Fort Wayne, IN 46804-4165

Ph: (260) 494-3484

Reviews and Comments


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John T Ducker, MD
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Mr. Kenneth A Smith, MD
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Dr. Carl Marc Williams, M.D.
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Phone: 260-373-9700    Fax: 260-373-9740

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.