| Carlos Alberto Pottinger, MD | |
|
2206 Wilborn Ave Bldg 1, South Boston, VA 24592-1630 | |
| (434) 517-8627 | |
| (434) 517-8080 |
| Full Name | Carlos Alberto Pottinger |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2206 Wilborn Ave Bldg 1, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750524690 | NPI | - | NPPES |
| 253359600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME103639 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101262030 (Virginia) | Primary |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Alberto Pottinger, MD 2524 Houghton Avenue, South Boston, VA 24592 Ph: (434) 575-1346 | Carlos Alberto Pottinger, MD 2206 Wilborn Ave Bldg 1, South Boston, VA 24592-1630 Ph: (434) 517-8627 |
Joan Wilson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Joni Abbott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2206 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8627 Fax: 434-517-8080 | |
Duc K Trieu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 |