| Ronnie Daniel Mantilla, MD | |
|
4760 Independence Dr, Lumberton, NC 28358-2328 | |
| (910) 738-9414 | |
| (910) 738-1012 |
| Full Name | Ronnie Daniel Mantilla |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 18 Years |
| Location | 4760 Independence Dr, Lumberton, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164785549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 2024-00547 (North Carolina) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | M15022 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unc Physicians Network Llc | 5496940546 | 795 |
| Entity Name | Southeastern Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154399699 PECOS PAC ID: 7315857141 Enrollment ID: O20040119000154 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie Daniel Mantilla, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Ronnie Daniel Mantilla, MD 4760 Independence Dr, Lumberton, NC 28358-2328 Ph: (910) 738-9414 |
Pradeep Ghimire, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 | |
Dr. Paul Dwayne Collins, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2936 N Elm St Ste 102, Lumberton, NC 28358 Phone: 910-671-6619 Fax: 910-608-0487 | |
Charles R. Beasley, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 Fax: 910-738-3764 | |
Dr. Christopher Ronald Walters, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 403 W 27th St, Lumberton, NC 28358 Phone: 910-671-6619 | |
Paul Sierszulski, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7557 Fax: 910-739-2332 | |
Nam Huynh, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 Fax: 910-739-2332 | |
Sadanand Belinje Hegde, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 |