Dr Enrique Villa Marana, MD is a medicare enrolled "Family Medicine" physician in Farmville, North Carolina. His current practice location is
3485 N Main St, Farmville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 753-3193.
Dr Enrique Villa Marana is licensed to practice in North Carolina (license number 20000090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497717342.
Physician's Profile
| Full Name | Dr Enrique Villa Marana |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 3485 N Main St, Farmville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497717342
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 02/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 2668461823
- Enrollment ID: I20040511001627
Medical Identifiers
Medical identifiers for Dr Enrique Villa Marana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497717342 | NPI | - | NPPES |
| 89126A3 | Medicaid | NC | |
| 126A3 | Other | NC | BLUE CROSS BLUE SHIELD |
| P00379704 | Other | NC | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 200000090 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 20000090 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Enrique Villa Marana allows following entities to bill medicare on his behalf.
| Entity Name | Farmville Internal Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710942610
PECOS PAC ID: 8325037575
Enrollment ID: O20040511001545 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Enrique Villa Marana is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Enrique Villa Marana, MD
3485 N Main St,
Farmville, NC 27828-1466
Ph: (252) 753-3193 | Dr Enrique Villa Marana, MD
3485 N Main St,
Farmville, NC 27828-1466
Ph: (252) 753-3193 |
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