Dr Harry Mario Coletta Ii, MD is a medicare enrolled "Family Medicine" physician in Walnut Cove, North Carolina. His current practice location is
106 E 8th St, Walnut Cove, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 591-7205.
Dr Harry Mario Coletta Ii is licensed to practice in North Carolina (license number 24054) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639175219.
Physician's Profile
| Full Name | Dr Harry Mario Coletta Ii |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 106 E 8th St, Walnut Cove, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639175219
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022076744
- Enrollment ID: I20041228000912
Medical Identifiers
Medical identifiers for Dr Harry Mario Coletta Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639175219 | NPI | - | NPPES |
| 121 | Other | NC | PARTNERS MCR CHOICE |
| 8923756 | Medicaid | NC | |
| 23756 | Other | NC | BSBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 24054 (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 Harry Mario Coletta Ii 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 Harry Mario Coletta Ii, MD Po Box 678, Walnut Cove, NC 27052-0678 Ph: (336) 591-7205 | Dr Harry Mario Coletta Ii, MD 106 E 8th St, Walnut Cove, NC 27052-9399 Ph: (336) 591-7205 |
Reviews and Comments