Pediatrics In New Bern North Carolina
NPI list of 23 pediatrics registered providers with a business address in New Bern, NC of which 4 are registered as organizations and 19 as individuals. A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NPI | Name | Type | Taxonomy | Address | Medicare | PECOS |
---|---|---|---|---|---|---|
1003000118 | STEVEN ENGEL PEDIATRICS | Organization | Pediatrics | 1700 NEUSE BLVD NEW BERN, NC 28560 (252) 637-3799 | Non-Participating Provider | NO |
1063416329 | LEEANN B SKLADAN | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1093778375 | STEVEN MARK ENGEL | Individual | Pediatrics | 1700 NEUSE BLVD NEW BERN, NC 28560 (252) 637-3799 | Non-Participating Provider | YES |
1124011523 | MARCUS CRAIG WHALEY | Individual | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | YES |
1194719344 | KRISTI D GORDIN | Individual | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | NO |
1215900337 | REBECCA C. H. RILEY | Individual | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | NO |
1235355918 | DAVID THOMAS TAYLOE | Individual | Pediatrics | 703 NEWMAN RD COASTAL CHILDREN'S CLINIC NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1235430976 | CAROLINAEAST PHYSICIANS | Organization | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | NO |
1316104607 | COASTAL CHILDRENS CLINIC INC | Organization | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1316301955 | JENNIFER LOUISE SMITH | Individual | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Accepts Medicare | YES |
1366418816 | COASTAL CHILDRENS CLINIC | Organization | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1407814403 | TOLLY GARRETT | Individual | Pediatrics | 703 NEWMAN ROAD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | YES |
1417959651 | CHARLES MARSTON CRAWFORD | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1457327272 | JENNIE CRAIG MANGUN | Individual | Pediatrics | 2636 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | YES |
1477555654 | LISA M KAFER | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1477583615 | RONALD B MAY | Individual | Pediatrics | 2000 NEUSE BLVD NEW BERN, NC 28560 (252) 633-8045 | Non-Participating Provider | NO |
1508868738 | GREGORY G. GUNSTEN | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | YES |
1528061801 | GRAHAM A BARDEN | Individual | Pediatrics | 703 NEWMAN ROAD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1528414091 | CHELSEA ELIZABETH FOWLER | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | YES |
1619167228 | BARRY JUSTIN BELCHER | Individual | Pediatrics | 2000 NEUSE BLVD NEW BERN, NC 28560 (252) 633-8111 | Accepts Medicare | YES |
1619238169 | NICOLE R CHECK | Individual | Pediatrics | 2604 DR MARTIN LUTHER KING JR BLVD NEW BERN, NC 28562 (252) 636-1919 | Non-Participating Provider | YES |
1639386329 | KELLY RENEE GROVE | Individual | Pediatrics | 703 NEWMAN RD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
1972508653 | CALVIN G. WARREN | Individual | Pediatrics | 703 NEWMAN ROAD NEW BERN, NC 28562 (252) 633-2900 | Non-Participating Provider | NO |
Medicare Participation
- Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
- Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
- Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.
What is PECOS?
PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.