Dr James Sylvester Ebertowski Ii, MD is a medicare enrolled "Urology" physician in Willamsburgh, Virginia. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Urology. He is a member of the group practice Tidewater Physicians Multispecialty Group Pc and his current practice location is
5424 Discovery Blvd, Bldg B, Ste 203, Willamsburgh, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 345-6223.
Dr James Sylvester Ebertowski Ii is licensed to practice in Colorado (license number 0061398) 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 1932336203.
Physician's Profile
| Full Name | Dr James Sylvester Ebertowski Ii |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 17 Years |
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| Location | 5424 Discovery Blvd, Bldg B, Ste 203, Willamsburgh, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Sylvester Ebertowski Ii graduated from medical school in 2009
NPI Data:
- NPI Number: 1932336203
- Provider Enumeration Date: 06/15/2009
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446550701
- Enrollment ID: I20240905001077
Medical Identifiers
Medical identifiers for Dr James Sylvester Ebertowski Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932336203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 0101248205 (Virginia) | Secondary |
| 208800000X | Urology | 75616 (Georgia) | Secondary |
| 208800000X | Urology | 0061398 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
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. Dr James Sylvester Ebertowski Ii allows following entities to bill medicare on his behalf.
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980 |
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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. Dr James Sylvester Ebertowski Ii 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 |
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Dr James Sylvester Ebertowski Ii, MD
860 Omni Blvd Ste 128,
Newport News, VA 23606-4483
Ph: (757) 964-8739 | Dr James Sylvester Ebertowski Ii, MD
5424 Discovery Blvd, Bldg B, Ste 203,
Willamsburgh, VA 23188
Ph: (757) 345-6223 |
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