Dr Elissa Ermmarino, DO is a
Family Medicine physician based in Vanceboro, North Carolina. Dr Elissa Ermmarino is licensed to practice in North Carolina (license number 2013-01436) and her current practice location is 620 Farm Life Ave, Vanceboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 244-1785.
NPI number for Dr Elissa Ermmarino is 1114083466 and her current mailing address is Po Box 896206, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114083466.
Physician's Profile
| Full Name | Dr Elissa Ermmarino |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 620 Farm Life Ave, Vanceboro, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114083466
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 03/17/2017
Medical Identifiers
Medical identifiers for Dr Elissa Ermmarino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114083466 | NPI | - | NPPES |
| 2013-01436 | Other | NC | NORTH CAROLINA MEDICAL BOARD |
| 20A7368 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| 212592 | Other | NY | NEW YORK MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20A7368 (California) | Secondary |
| 207Q00000X | Family Medicine | 212592 (New York) | Secondary |
| 207Q00000X | Family Medicine | 2013-01436 (North Carolina) | Primary |
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 Elissa Ermmarino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elissa Ermmarino, DO
Po Box 896206,
Charlotte, NC 28289-6206
Ph: (252) 244-1785 | Dr Elissa Ermmarino, DO
620 Farm Life Ave,
Vanceboro, NC 28586-7673
Ph: (252) 244-1785 |
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