Michael Robert Ott, DO | |
4402 Shipyard Blvd, Wilmington, NC 28403-6161 | |
(910) 452-1400 | |
(910) 332-1032 |
Full Name | Michael Robert Ott |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4402 Shipyard Blvd, Wilmington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083619472 | NPI | - | NPPES |
1266C | Other | NC | BCBS |
Q0092A | Medicaid | SC | |
930102882 | Other | NC | RAILROAD MEDICARE |
39-00201 | Other | NC | UNITED HEALTHCARE |
930104564 | Other | NC | RAILROAD MEDICARE |
891266C | Medicaid | NC | |
B4655 | Other | NC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 200000925 (North Carolina) | Primary |
Entity Name | Ecep Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255407680 PECOS PAC ID: 5092709931 Enrollment ID: O20040413000773 |
Mailing Address | Practice Location Address |
---|---|
Michael Robert Ott, DO 4402 Shipyard Blvd, Wilmington, NC 28403-6161 Ph: (910) 452-1400 | Michael Robert Ott, DO 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 | |
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 |