Dr Enrique Villa Marana, MD | |
3485 N Main St, Farmville, NC 27828-1466 | |
(252) 753-3193 | |
(252) 753-7966 |
Full Name | Dr Enrique Villa Marana |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3485 N Main St, Farmville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497717342 | NPI | - | NPPES |
89126A3 | Medicaid | NC | |
126A3 | Other | NC | BLUE CROSS BLUE SHIELD |
P00379704 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0000X | Internal Medicine - Adolescent Medicine | 200000090 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 20000090 (North Carolina) | Primary |
Entity Name | Farmville Internal Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710942610 PECOS PAC ID: 8325037575 Enrollment ID: O20040511001545 |
Mailing Address | Practice Location Address |
---|---|
Dr Enrique Villa Marana, MD 3485 N Main St, Farmville, NC 27828-1466 Ph: (252) 753-3193 | Dr Enrique Villa Marana, MD 3485 N Main St, Farmville, NC 27828-1466 Ph: (252) 753-3193 |
Dr. Natalie Michelle Malpass, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3681 N Main St, Farmville, NC 27828 Phone: 252-753-7141 | |
Dr. Tyler Scott Moore, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3681 N Main St, Farmville, NC 27828 Phone: 252-753-7141 |