| East Carolina Gastroenterology Pa | |
|
4 Office Park Dr Jacksonville NC 28546-7257 | |
| (910) 353-6158 | |
| (910) 353-7257 |
| Full Name | East Carolina Gastroenterology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Office Park Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Peter A Eweje (OWNER PRESIDENT) |
| Authorized Official Contact | 9103536158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Carolina Gastroenterology Pa Po Box 12114 Jacksonville NC 28546-2114 Ph: (910) 353-6158 | East Carolina Gastroenterology Pa 4 Office Park Dr Jacksonville NC 28546-7257 Ph: (910) 353-6158 |
| NPI Number | 1023053493 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4789679069 |
|---|---|
| Medicare Enrollment ID | O20100120000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023053493 | NPI | - | NPPES |
| 8910612 | Medicaid | NC | |
| 0200E | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 00941 (North Carolina) | Primary |
| Provider Name | Peter A Eweje |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871538363 PECOS PAC ID: 3072508167 Enrollment ID: I20040419000092 |
| Provider Name | Anuradha N Arcot |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033115761 PECOS PAC ID: 5496722548 Enrollment ID: I20040916000810 |
| Provider Name | William Ferris Kelly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881727212 PECOS PAC ID: 2769550755 Enrollment ID: I20081003000425 |
| Provider Name | Elena Mcneill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538317227 PECOS PAC ID: 3072752963 Enrollment ID: I20130626000262 |
| Provider Name | Pamela Kay Henion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100693 PECOS PAC ID: 6507156247 Enrollment ID: I20210608001382 |
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