| Kevin John Reese, MD | |
|
4402 Shipyard Blvd, Wilmington, NC 28403-6161 | |
| (910) 452-1400 | |
| (910) 791-9626 |
| Full Name | Kevin John Reese |
|---|---|
| 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 |
|---|---|---|---|
| 1073518460 | NPI | - | NPPES |
| B4556 | Other | NC | MEDCOST |
| 1073X | Other | NC | BCBS |
| 891073X | Medicaid | NC | |
| 930084667 | Other | NC | RAILROAD MEDICARE |
| 01-28736 | Other | NC | UNITED HEALTHCARE |
| 930077045 | Other | NC | RAILROAD MEDICARE |
| Q0112D | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9701125 (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 |
|---|---|
| Kevin John Reese, MD 4402 Shipyard Blvd, Wilmington, NC 28403-6161 Ph: (910) 452-1400 | Kevin John Reese, MD 4402 Shipyard Blvd, Wilmington, NC 28403-6161 Ph: (910) 452-1400 |
Dr. Heston Channing Lamar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1612 Azalea Dr, Wilmington, NC 28403 Phone: 910-538-4009 Fax: 910-335-8967 | |
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 | |
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 |