Emmet J Eby, MD
Individual provider Active NPI Pulmonary Disease Physician · Wareham, MA
NPI 1366410789 · NPPES record last updated Apr 21, 2020
Key facts
- NPI
- 1366410789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 59946 (MA)
- Practice address
- 100 Rosebrook Way
2ND Floor
Wareham, MA 02571-1406 - Phone
- (508) 273-4974
- Fax
- (508) 273-4955
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 273-4900
534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766
Hospital & facility affiliations
- Southcoast Hospitals Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050426000866 | MA | Practitioner - Pulmonary Disease |
0446241970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| New Bedford Medical Associates PC | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
275 Allen St
New Bedford, MA 02740
Phone (508) 992-9167
100 Rosebrook Way
#2
Wareham, MA 02571
100 Rosebrook Way
Fl 2
Wareham, MA 02571
Phone (508) 273-4950
53 Marion Rd
Unit 11
Wareham, MA 02571
Phone (508) 295-7556
Interoperability endpoints
- eeby5765@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 59946 | MA | Yes |
Addresses
Primary practice location
100 Rosebrook Way
2ND Floor
Wareham, MA 02571-1406
Mailing address
200 Mill Rd
Ste 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110046019A | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eeby5765@direct.southcoast.org |
Other providers in Wareham, MA
- Susan Dorry
- Justine Ducie
- Linda Duffy
- Olivia Duhaime
- Jason Dwyer
- Erin A. Edwards
- Empire Vision Center, Inc
- Mariangeliz Yanis Estrella
- Joshua Everman
- Linda R Falcone
All providers in Wareham, MA · Pulmonary Disease Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.