| Peter Ercolino, MD | |
|
1655 Wake Drive, Ste 101, Wake Forest, NC 27587 | |
| (919) 556-4779 | |
| (919) 556-5277 |
| Full Name | Peter Ercolino |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1655 Wake Drive, Wake Forest, 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 |
|---|---|---|---|
| 1386641850 | NPI | - | NPPES |
| 89126J5 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | (North Carolina) | Primary |
| Entity Name | Wake Forest Pediatric Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790782126 PECOS PAC ID: 6709029523 Enrollment ID: O20130827000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Ercolino, MD 3004 Belspring Ln, Raleigh, NC 27612-5229 Ph: (919) 782-2783 | Peter Ercolino, MD 1655 Wake Drive, Ste 101, Wake Forest, NC 27587 Ph: (919) 556-4779 |
Dr. Aarthi S Agaram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Jeffrey B Perrin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 | |
Sarah Young Gessner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1655 Wake Dr, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Christian Nechyba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 Rogers Rd Ste 210, Wake Forest, NC 27587 Phone: 919-385-2120 Fax: 919-385-2144 | |
Heather Braddock Acevedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Dirk Hamp, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 | |
Dr. James M Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 |