Pediatrics In New Bern North Carolina

NPI list of 24 pediatrics registered providers with a business address in New Bern, NC of which 4 are registered as organizations and 20 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
1003000118STEVEN ENGEL PEDIATRICSOrganizationPediatrics1700 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-3799
Non-Participating ProviderNO
1063416329LEEANN B SKLADANIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1093778375STEVEN MARK ENGELIndividualPediatrics1700 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-3799
Non-Participating ProviderYES
1124011523MARCUS CRAIG WHALEYIndividualPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderYES
1194719344KRISTI D GORDINIndividualPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderNO
1215900337REBECCA C. H. RILEYIndividualPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderNO
1235355918DAVID THOMAS TAYLOEIndividualPediatrics703 NEWMAN RD COASTAL CHILDREN'S CLINIC
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1235430976CAROLINAEAST PHYSICIANSOrganizationPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderNO
1316104607COASTAL CHILDRENS CLINIC INCOrganizationPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1316301955JENNIFER LOUISE SMITHIndividualPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Accepts MedicareYES
1366418816COASTAL CHILDRENS CLINICOrganizationPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1407814403TOLLY GARRETTIndividualPediatrics703 NEWMAN ROAD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderYES
1417959651CHARLES MARSTON CRAWFORDIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1457327272JENNIE CRAIG MANGUNIndividualPediatrics2636 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderYES
1477555654LISA M KAFERIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1477583615RONALD B MAYIndividualPediatrics2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8045
Non-Participating ProviderNO
1508868738GREGORY G. GUNSTENIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderYES
1528061801GRAHAM A BARDENIndividualPediatrics703 NEWMAN ROAD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1528414091CHELSEA ELIZABETH FOWLERIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderYES
1619167228BARRY JUSTIN BELCHERIndividualPediatrics2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8111
Non-Participating ProviderYES
1619238169NICOLE R CHECKIndividualPediatrics2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderYES
1639386329KELLY RENEE GROVEIndividualPediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO
1801823802SCOTT A LUTHMANIndividualPediatrics2604 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC 28562
(252) 636-1919
Non-Participating ProviderYES
1972508653CALVIN G. WARRENIndividualPediatrics703 NEWMAN ROAD
NEW BERN, NC 28562
(252) 633-2900
Non-Participating ProviderNO

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.