| 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: Not Enrolled in Medicare 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 |