Dr Elissa Ermmarino, DO is a medicare enrolled "Family Medicine" physician in Vanceboro, North Carolina. Her current practice location is
620 Farm Life Ave, Vanceboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 244-1785.
Dr Elissa Ermmarino is licensed to practice in North Carolina (license number 2013-01436) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114083466.
Physician's Profile
| Full Name | Dr Elissa Ermmarino |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 620 Farm Life Ave, Vanceboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114083466
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 03/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 8022023332
- Enrollment ID: I20150209000811
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 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 Elissa Ermmarino allows following entities to bill medicare on her behalf.
| Entity Name | Carolinaeast Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104066794
PECOS PAC ID: 0143378117
Enrollment ID: O20090430000303 |
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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 Elissa Ermmarino 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 |
|---|
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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