Dr Roberto Carlos Portela, MD | |
2100 Stantonsburg Rd, Greenville, NC 27834-2818 | |
(252) 744-4757 | |
(252) 744-4125 |
Full Name | Dr Roberto Carlos Portela |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2100 Stantonsburg Rd, Greenville, 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 |
---|---|---|---|
1245215037 | NPI | - | NPPES |
1245215037 | Medicaid | NC | |
1824N | Other | NC | BCBS NC |
295964 | Other | NY | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15720 (Puerto Rico) | Secondary |
207P00000X | Emergency Medicine | 2013-01711 (North Carolina) | Primary |
Entity Name | East Carolina University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Roberto Carlos Portela, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Dr Roberto Carlos Portela, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 744-4757 |
Dr. Colton Austin Faza, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-847-1985 | |
Yousef M. Naji, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-3627 | |
Dr. Joseph Andrew Stone, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Ecu Physicians Emergency Medicine, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-4125 | |
Dr. Jason B Hack, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014 | |
Robert Leslie Grafe Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-3229 | |
Dr. Bryan Benjamin Kitch, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014 | |
Dustin Michael Gertsch, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014 |