Samuel Brown Collins, MD | |
4402 Shipyard Blvd, Wilmington, NC 28403-6161 | |
(910) 452-1400 | |
(910) 332-1072 |
Full Name | Samuel Brown Collins |
---|---|
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 |
---|---|---|---|
1669477055 | NPI | - | NPPES |
01-28698 | Other | NC | UNITED HEALTHCARE |
930077053 | Other | NC | RAILROAD MEDICARE |
930084654 | Other | NC | RAILROAD MEDICARE |
B4543 | Other | NC | MEDCOST |
12191 | Other | NC | BCBS |
8912191 | Medicaid | NC | |
Q0075F | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9400758 (North Carolina) | Primary |
Entity Name | Medac Health Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356345920 PECOS PAC ID: 1254220809 Enrollment ID: O20040312000319 |
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 |
---|---|
Samuel Brown Collins, MD 4402 Shipyard Blvd, Wilmington, NC 28403-6161 Ph: (910) 452-1400 | Samuel Brown Collins, 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 |