| Dr Jim Jaralene Porquez Banno, MD | |
|
748 Kenansville Byp, Kenansville, NC 28349-9064 | |
| (910) 296-8080 | |
| Not Available |
| Full Name | Dr Jim Jaralene Porquez Banno |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 748 Kenansville Byp, Kenansville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205417722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2024-00756 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Duplin Hospital | Kenansville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Goshen Medical Center, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jim Jaralene Porquez Banno, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: () - | Dr Jim Jaralene Porquez Banno, MD 748 Kenansville Byp, Kenansville, NC 28349-9064 Ph: (910) 296-8080 |
Ms. Kimberly Michelle Biichle, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 748 Kenansville Byp, Kenansville, NC 28349 Phone: 910-296-8080 | |
Dr. Vincent Kilmer Cheek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-2774 |