Vasanth B Baliga, MD | |
91 Enterprise Dr, Rocky Mount, NC 27804-9590 | |
(252) 451-3100 | |
(252) 937-3106 |
Full Name | Vasanth B Baliga |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 91 Enterprise Dr, Rocky Mount, 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 |
---|---|---|---|
1205820214 | NPI | - | NPPES |
370018384 | Other | NC | RAILROAD MEDICARE |
89128UA | Medicaid | NC | |
5957691 | Other | NC | CIGNA HEALTHCARE |
A5444 | Other | NC | MEDCOST |
128UA | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 200100212 (North Carolina) | Primary |
Entity Name | Boice Willis Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699722389 PECOS PAC ID: 0143122382 Enrollment ID: O20040127000265 |
Mailing Address | Practice Location Address |
---|---|
Vasanth B Baliga, MD Po Box 7200, Rocky Mount, NC 27804-0200 Ph: (252) 937-0200 | Vasanth B Baliga, MD 91 Enterprise Dr, Rocky Mount, NC 27804-9590 Ph: (252) 451-3100 |
Dr. Sharon Denise Romney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 210 E Thomas St, Rocky Mount, NC 27801 Phone: 252-210-9330 Fax: 252-210-9328 | |
David S Brantley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
Susan L Church, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Nash Medical Arts Mall, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-451-3141 | |
James W Grant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
Lisa Bellofiore-plonski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Enterprise Dr, Rocky Mount, NC 27804 Phone: 252-451-3100 Fax: 252-937-3106 | |
Kylee Wilkinson, FNP Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 901 N Winstead Ave, Rocky Mount, NC 27804 Phone: 252-937-0290 Fax: 252-937-3111 |