| Emmanuel Estranero Eugenio, MD | |
|
36 Mcneill Plz, Whiteville, NC 28472-8602 | |
| (910) 640-4064 | |
| Not Available |
| Full Name | Emmanuel Estranero Eugenio |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 36 Mcneill Plz, Whiteville, 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 |
|---|---|---|---|
| 1174551733 | NPI | - | NPPES |
| 270500 | Other | VA | SOUTHERN HEALTH SERVICES |
| 4944612 | Other | VA | CIGNA |
| 854726 | Other | VA | MAMSI |
| 1174551733 | Medicaid | NC | |
| C06193 | Other | VA | GROUP PTAN |
| 006710018 | Medicaid | VA | |
| 223542 | Other | VA | ANTHEM BCBS OF VA |
| 45912 | Other | VA | SENTARA |
| 5488498 | Other | VA | AETNA HMO |
| 5488498 | Other | VA | AETNA LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2025-01504 (North Carolina) | Primary |
| Entity Name | Childrens Hospital Of The Kings Daughters Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578954590 PECOS PAC ID: 0941265284 Enrollment ID: O20150623001707 |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Estranero Eugenio, MD 36 Mcneill Plz, Whiteville, NC 28472-8602 Ph: (910) 640-4064 | Emmanuel Estranero Eugenio, MD 36 Mcneill Plz, Whiteville, NC 28472-8602 Ph: (910) 640-4064 |
Dr. John Jasper Wilkins Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Jefferson St, Suite 116, Whiteville, NC 28472 Phone: 910-642-2642 | |
Marc Yandle, Pediatrics Medicare: Medicare Enrolled Practice Location: 619-36 Jefferson Street, Whiteville, NC 28472 Phone: 910-640-4064 | |
Dr. Charita Yiangopoullou Csiky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Jefferson St, Suite 28, Whiteville, NC 28472 Phone: 910-640-4064 Fax: 910-640-4063 | |
Dr. Richard M Waldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 823 Jefferson St, Whiteville, NC 28472 Phone: 910-642-6121 Fax: 910-642-8457 | |
Dr. Alberto Luis Leon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 36 Mcneill Plz, Whiteville, NC 28472 Phone: 910-640-4064 | |
Ruth Elizabeth Letizia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 36 Mcneill Plz, Whiteville, NC 28472 Phone: 910-640-4064 |