Matthew Chet Radack, MD | |
4402 Shipyard Blvd, Wilmington, NC 28403-6161 | |
(910) 452-1400 | |
(910) 332-1072 |
Full Name | Matthew Chet Radack |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 34 Years |
Location | 4402 Shipyard Blvd, Wilmington, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508861998 | NPI | - | NPPES |
1072P | Other | NC | BCBS |
891072P | Medicaid | NC | |
B4555 | Other | MEDCOST | |
930084659 | Other | NC | RAILROAD MEDICARE |
930077046 | Other | NC | RAILROAD MEDICARE |
Q01118 | Medicaid | SC | |
01-28748 | Other | NC | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9701118 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wilmington Health Pllc | 6103722509 | 286 |
Entity Name | Wilmington Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800 |
Mailing Address | Practice Location Address |
---|---|
Matthew Chet Radack, MD 1202 Medical Center Dr, Wilmington, NC 28401-7307 Ph: (910) 341-3300 | Matthew Chet Radack, MD 4402 Shipyard Blvd, Wilmington, NC 28403-6161 Ph: (910) 452-1400 |
Russell Anthony Incatasciato, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-452-1400 Fax: 910-791-9626 | |
Kevin John Reese, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-452-1400 Fax: 910-791-9626 | |
Michael Robert Ott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-452-1400 Fax: 910-332-1032 | |
Lisa A Plazzo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-452-1400 Fax: 910-791-9626 | |
Dr. Robert Lee Young, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 | |
Dr. Sean Patrick O'brien, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-202-3363 Fax: 910-791-9626 | |
Kenneth Charles Marburg, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-452-1400 Fax: 910-332-1072 |