Brittany Eberly

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9111226 Issued in FL

Practice address

5911 N Honore Ave Ste 210
Sarasota, FL 34243-2657

Phone

(941) 308-7546

Fax

(941) 308-7550

NPI assigned

Nov 12, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth F. Callahan, M.D., LLCGroup PAC ID 5890755987, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: beberly@dcm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth F. Callahan, M.D., LLC

  dba Skin Smart Dermatology

  • Specialist
  • Sarasota, FL
  • NPI 1376576454
  Medicare reassignment Care Compare group
• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  Medicare reassignment
• McCagh and Herring MD PA

  dba Western Maryland Dermatology

  • Dermatology Physician
  • Cumberland, MD
  • NPI 1437142098
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1326444712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432657",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432657",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLY",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005605",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easterseals of Southwest Florida, Inc
• Easterseals Southwest Florida
• Karen S. Eastmoore, P.T.
• Lindsey Meredith Eastwood
• Darla M Eaton, FNP
• John Ebone, DO
• Jorge Echeverri, CLINICAL HYPNOTHERAP
• Robert E Eckart, DO
• Lisa Danelle Eckley-Dlutowski, M.S.
• Ecomerfordnp PLLC

• Medical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.