Dr Heston Channing Lamar, MD | |
1612 Azalea Dr, Wilmington, NC 28403-4860 | |
(910) 538-4009 | |
(910) 335-8967 |
Full Name | Dr Heston Channing Lamar |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1612 Azalea Dr, 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 |
---|---|---|---|
1023013869 | NPI | - | NPPES |
138M8 | Other | NC | BCBS |
Q0125A | Medicaid | SC | |
5901260 | Medicaid | NC | |
E3576 | Other | NC | MEDCOST |
P00328065 | Other | NC | RAILROAD MEDICARE |
P00247883 | Other | NC | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101274846 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 200401250 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Murphy Emergency Physicians, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053808378 PECOS PAC ID: 8628328424 Enrollment ID: O20180828003630 |
Entity Name | Wake Forest Emergency Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
Mailing Address | Practice Location Address |
---|---|
Dr Heston Channing Lamar, MD 1612 Azalea Dr, Wilmington, NC 28403-4860 Ph: (910) 538-4009 | Dr Heston Channing Lamar, MD 1612 Azalea Dr, Wilmington, NC 28403-4860 Ph: (910) 538-4009 |
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: Not Enrolled in Medicare 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 |