| Eastern Carolina Medical Center, Pc | |
|
1 Medical Dr Benson NC 27504-1177 | |
| (919) 894-5787 | |
| (919) 207-2039 |
| Full Name | Eastern Carolina Medical Center, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Medical Dr, Benson, North Carolina |
| Authorized Official Name and Position | Pankaj Kirtikant Vyas (OWNER & PRESIDENT) |
| Authorized Official Contact | 9198945787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Carolina Medical Center, Pc 1 Medical Dr Benson NC 27504-1177 Ph: (919) 894-5787 | Eastern Carolina Medical Center, Pc 1 Medical Dr Benson NC 27504-1177 Ph: (919) 894-5787 |
| NPI Number | 1609822287 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456319763 |
|---|---|
| Medicare Enrollment ID | O20050103000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609822287 | NPI | - | NPPES |
| 890164N | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 41017 (North Carolina) | Primary |
| Provider Name | Pankajkumar Kirtikant Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376599647 PECOS PAC ID: 8224001656 Enrollment ID: I20100715001005 |
| Provider Name | Viswanatha K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663734 PECOS PAC ID: 3971637380 Enrollment ID: I20100819000913 |
| Provider Name | Ritesh Patel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760709729 PECOS PAC ID: 6103130257 Enrollment ID: I20150803000961 |
| Provider Name | Kamalkumar P Kolappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235366634 PECOS PAC ID: 4183859192 Enrollment ID: I20150929000016 |
Johnston Memorial Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504 Phone: 919-938-0260 Fax: 919-938-0350 | |
Crossroads Wellness And Rehab, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Annette Dr, Suite 109, Benson, NC 27504 Phone: 919-989-1888 Fax: 919-989-1898 | |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 Crape Myrtle Dr Ste 104, Benson, NC 27504 Phone: 877-935-5255 Fax: 910-236-2118 | |
Central Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 E Singh Plz, Benson, NC 27504 Phone: 919-894-2233 Fax: 919-894-1890 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Dr, Benson, NC 27504 Phone: 888-221-1826 Fax: 304-696-1623 | |
R.s. Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Pleasant Coats Rd, Benson, NC 27504 Phone: 919-989-4051 Fax: 919-989-4053 |