Wendy K Ottenbacher, MD | |
701 N Clayton St, Wilmington, DE 19805-3165 | |
(302) 421-4333 | |
Not Available |
Full Name | Wendy K Ottenbacher |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 701 N Clayton St, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114907367 | NPI | - | NPPES |
P00430507 | Other | MD | RAILROAD |
1114907367 | Medicaid | DE | |
129151000 | Medicaid | MD | |
413046400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D0065609 (Maryland) | Secondary |
207P00000X | Emergency Medicine | L8872 (Texas) | Secondary |
207P00000X | Emergency Medicine | C1-008290 (Delaware) | Primary |
Entity Name | Emergency Physician Associates Of Delaware Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679514467 PECOS PAC ID: 5294716601 Enrollment ID: O20040731000066 |
Mailing Address | Practice Location Address |
---|---|
Wendy K Ottenbacher, MD 701 N Clayton St, Wilmington, DE 19805-3165 Ph: () - | Wendy K Ottenbacher, MD 701 N Clayton St, Wilmington, DE 19805-3165 Ph: (302) 421-4333 |
Dr. Alexandra A. Taylor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
John V. Fenice, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Annand Dr, Suite 4, Wilmington, DE 19808 Phone: 302-998-3334 Fax: 302-998-8985 | |
Dr. Susanne I. Kost, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Monique A Devens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-5860 Fax: 302-651-4227 | |
Brent R. King, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-5860 Fax: 302-651-4227 | |
Dr. Steven M. Selbst, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 |