Peter Ercolino, MD in Wake Forest, NC - Medicare Pediatrics

Peter Ercolino, MD is a medicare enrolled "Pediatrics" physician in Wake Forest, North Carolina. His current practice location is 1655 Wake Drive, Ste 101, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 556-4779.

Peter Ercolino is licensed to practice in North Carolina (license number ) 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 1386641850.

Contact Information

	Peter Ercolino, MD
	1655 Wake Drive, Ste 101, Wake Forest, NC 27587
	(919) 556-4779
	(919) 556-5277

Physician's Profile

Full Name	Peter Ercolino
Gender	Male
Speciality	Pediatrics
Location	1655 Wake Drive, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386641850
Provider Enumeration Date: 06/30/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062655889
Enrollment ID: I20130827000487

Medical Identifiers

Medical identifiers for Peter Ercolino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386641850	NPI	-	NPPES
89126J5	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	(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. Peter Ercolino allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest Pediatric Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790782126 PECOS PAC ID: 6709029523 Enrollment ID: O20130827000414

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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. Peter Ercolino 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
Peter Ercolino, MD 3004 Belspring Ln, Raleigh, NC 27612-5229 Ph: (919) 782-2783	Peter Ercolino, MD 1655 Wake Drive, Ste 101, Wake Forest, NC 27587 Ph: (919) 556-4779

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Pediatrics Doctors in Wake Forest, NC

Dr. Aarthi S Agaram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Jeffrey B Perrin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096
Sarah Young Gessner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Christian Nechyba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 Rogers Rd Ste 210, Wake Forest, NC 27587 Phone: 919-385-2120 Fax: 919-385-2144
Heather Braddock Acevedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Dirk Hamp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096
Dr. James M Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096

Peter Ercolino, MD - Medicare Pediatrics in Wake Forest, NC

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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ChinaSoft inks agreement with CITIC 21CN on Pharmaceutical Information Sharing Program

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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ChinaSoft inks agreement with CITIC 21CN on Pharmaceutical Information Sharing Program

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Pediatrics Doctors in Wake Forest, NC