Individual ProviderSamer Ein AlshaebaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address95 Scovill St, Waterbury, CT 06706-1113(203) 465-5292PECOS EnrollmentBased on the most recent information from CMS, provider Samer Ein Alshaeba is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1477591097Provider TypeIndividualFull NameEin Alshaeba, SamerTitleMr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/4/2006Last Updated9/30/2016Contact InformationPractice LocationPractice Address95 Scovill St, Waterbury, CT 06706-1113Phone(203) 465-5292Fax(203) 465-5296Mailing LocationMailing Address95 Scovill St, Waterbury, CT 06706-1113Phone(203) 465-5292Fax(203) 465-5296Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense36185ArizonaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense001940New YorkProvider IdentifiersIDDescriptionIssuerID02635812DescriptionMedicaidIssuerUnlistedNew YorkID150734DescriptionMedicaidIssuerUnlistedArizona