Mark David Iannettoni, MD | |
115 Heart Dr, Greenville, NC 27834-8982 | |
(252) 744-4400 | |
(252) 744-3987 |
Full Name | Mark David Iannettoni |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 39 Years |
Location | 115 Heart Dr, Greenville, 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 |
---|---|---|---|
1164404976 | NPI | - | NPPES |
0432120 | Medicaid | IA | |
36310 | Other | IA | WELLMARK BCBS |
1164404976 | Medicaid | NC | |
188J9 | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35447 (Iowa) | Secondary |
208600000X | Surgery | 2014-01742 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carolina University | 0244143246 | 383 |
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 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Mark David Iannettoni, MD Po Box 751069, Ecu Physicians, Charlotte, NC 28275-1069 Ph: () - | Mark David Iannettoni, MD 115 Heart Dr, Greenville, NC 27834-8982 Ph: (252) 744-4400 |
Dr. Michael W.a. Chu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-9004 | |
Dr. Yifan Guo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 517 Moye Blvd, Ecu Physicians Plastic Surgery, Greenville, NC 27834 Phone: 252-744-5291 Fax: 252-744-5778 | |
Shannon Wright Longshore, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Dr. Frances Chinenye Okolo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Timothy W Mcguire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6735 Fax: 252-752-2019 | |
David Anthony Rodeberg, MD Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Dr. Simon C Moten, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Life Science Building-cardiothoracic Outpatient Clin., Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-5192 |