| Dr Mark H Lequire, MD | |
|
2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | |
| (334) 288-4624 | |
| (334) 280-3628 |
| Full Name | Dr Mark H Lequire |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 2055 Normandie Dr, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336133735 | NPI | - | NPPES |
| 009971820 | Medicaid | AL | |
| 009973725 | Medicaid | AL | |
| 000058867 | Other | AL | IDTF |
| 009930805 | Medicaid | AL | |
| 009971800 | Medicaid | AL | |
| 000058866 | Other | AL | IDTF |
| 107037 | Medicaid | AL | |
| 108071 | Medicaid | AL | |
| 051551047 | Medicaid | AL | |
| 009922335 | Medicaid | AL | |
| 009971830 | Medicaid | AL | |
| 107038 | Medicaid | AL | |
| 108246 | Medicaid | AL | |
| 270021200 | Medicaid | FL | |
| 009928435 | Medicaid | AL | |
| 009972715 | Medicaid | AL | |
| 009951085 | Medicaid | AL | |
| 051504364 | Other | AL | IDTF |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center South | Montgomery, AL | Hospital |
| East Alabama Medical Center And Snf | Opelika, AL | Hospital |
| Vaughan Regional Medical Center Parkway Campus | Selma, AL | Hospital |
| Baptist Medical Center East | Montgomery, AL | Hospital |
| Prattville Baptist Hospital | Prattville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alabama Imaging P C | 2365341328 | 24 |
| Selma Radiology Associates P C | 3870497720 | 23 |
| Entity Name | Selma Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429296 PECOS PAC ID: 3870497720 Enrollment ID: O20031121000535 |
| Entity Name | Alabama Imaging P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689621211 PECOS PAC ID: 2365341328 Enrollment ID: O20040108000255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark H Lequire, MD 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 Ph: (334) 288-4624 | Dr Mark H Lequire, MD 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 Ph: (334) 288-4624 |
Dr. David C Montiel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, Suite 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. Jason H Dorey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 Normandie Dr, 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. Oscar Padilla Orille, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, Suite 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 | |
Dr. George H. Wakefield Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Park Pl, Montgomery, AL 36106 Phone: 334-293-8747 | |
Dr. Alexander C Whitley, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4143 Carmichael Rd, Montgomery, AL 36106 Phone: 334-395-2200 Fax: 334-395-2290 | |
Dr. Daniel Sufficool, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-273-8877 Fax: 334-273-9733 | |
Dr. Byron C Machen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2055 Normandie Dr, 108, Montgomery, AL 36111 Phone: 334-288-4624 Fax: 334-280-3628 |