| Dr Amanda Jo Lott Marcellino, MD | |
|
3509 Old Battleground Rd, Greensboro, NC 27410-2419 | |
| (336) 438-2148 | |
| (336) 698-3832 |
| Full Name | Dr Amanda Jo Lott Marcellino |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 10 Years |
| Location | 3509 Old Battleground Rd, Greensboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457794927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 201600327 (North Carolina) | Secondary |
| 207Y00000X | Otolaryngology | 2016-00327 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| 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 | Wake Forest Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Jo Lott Marcellino, MD 3509 Old Battleground Rd, Greensboro, NC 27410-2419 Ph: (336) 438-2148 | Dr Amanda Jo Lott Marcellino, MD 3509 Old Battleground Rd, Greensboro, NC 27410-2419 Ph: (336) 438-2148 |
Ms. Liuba Soldatova, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1002 N Church St Ste 100, Greensboro, NC 27401 Phone: 336-890-2210 | |
Dwight D Bates, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1132 N Church St, Suite 200, Greensboro, NC 27401 Phone: 336-379-9445 Fax: 336-691-1704 | |
James J Lee, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 321 W Wendover Ave, Greensboro, NC 27408 Phone: 336-379-9445 Fax: 336-691-1704 | |
Anuja Dharap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 3824 N Elm St Ste 201, Greensboro, NC 27455 Phone: 336-542-2015 | |
Kunjan B Patel, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1002 N Church St Ste 100, Greensboro, NC 27401 Phone: 336-890-2215 | |
Mitchell Ray Gore, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1132 N Church St, Suite 200, Greensboro, NC 27401 Phone: 336-802-2536 Fax: 336-802-2534 | |
John M Byers, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1132 N Church St, Suite 200, Greensboro, NC 27401 Phone: 336-379-9445 Fax: 336-691-1704 |