Individual ProviderMichael H EbertPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address950 Campbell Ave # 11, West Haven, CT 06516-2770(203) 937-3825PECOS EnrollmentBased on the most recent information from CMS, provider Michael H Ebert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194823161Provider TypeIndividualFull NameEbert, Michael HTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address950 Campbell Ave # 11, West Haven, CT 06516-2770Phone(203) 937-3825Fax(203) 937-3868Mailing LocationMailing Address950 Campbell Ave # /11, West Haven, CT 06516-2770Phone(203) 937-3825Fax(203) 937-3868Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense15500Tennessee