Samuel R Eby, MD | |
7836 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-4165 | |
(260) 494-3484 | |
(260) 969-0188 |
Full Name | Samuel R Eby |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 42 Years |
Location | 7836 W Jefferson Blvd Ste 100, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043262447 | NPI | - | NPPES |
100085970 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 01032985 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Northeast Indiana Kidney Center-warsaw | Warsaw, IN | Dialysis facility |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Associates Of Northern Indiana Pc | 8921033440 | 72 |
Entity Name | Nephrology Associates Of Northern Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505814 PECOS PAC ID: 8921033440 Enrollment ID: O20051003000799 |
Entity Name | Nephrology Associates Of Northern Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20170705000259 |
Mailing Address | Practice 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 |
Dr. Dustin M Thomas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |