| Carlos Jose Anciano Granadillo, MD | |
|
115 Heart Dr, Greenville, NC 27834-8982 | |
| (252) 744-4400 | |
| (252) 744-3987 |
| Full Name | Carlos Jose Anciano Granadillo |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 23 Years |
| Location | 115 Heart Dr, Greenville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154563906 | NPI | - | NPPES |
| 1154563906 | Medicaid | NC | |
| 184R0 | Other | NC | BCBS NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2013-01958 (North Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2013-01958 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Carolina East Medical Center | New bern, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina University | 0244143246 | 444 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Jose Anciano Granadillo, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Carlos Jose Anciano Granadillo, MD 115 Heart Dr, Greenville, NC 27834-8982 Ph: (252) 744-4400 |
Mark David Iannettoni, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 115 Heart Dr, Greenville, NC 27834 Phone: 252-744-4400 Fax: 252-744-3987 | |
Joseph Dodson Elbeery, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Ecu Physicians: Cardiothoracic Surgery, Greenville, NC 27834 Phone: 252-744-4400 Fax: 252-744-3987 | |
Dustin Turner, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4100 | |
Hesham Z. Saleh, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 115 Heart Dr, East Carolina Heart Institute- Cardiothoracic Surgery, Greenville, NC 27834 Phone: 252-744-4400 Fax: 252-744-3987 | |
Dr. Benjamin C Degner, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 115 Heart Dr, Greenville, NC 27834 Phone: 252-744-4400 Fax: 252-744-9004 | |
Carolyn Jia Ling Teng, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-3258 | |
Dr. Chayanin Vatcharasiritham, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 Phone: 252-744-4400 Fax: 252-744-3987 |