| Dr Phillip Glenn Marks, MD | |
|
4420 Lake Boone Trl Ste 203, Raleigh, NC 27607-7505 | |
| (919) 784-2930 | |
| (919) 784-2929 |
| Full Name | Dr Phillip Glenn Marks |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 43 Years |
| Location | 4420 Lake Boone Trl Ste 203, Raleigh, North Carolina |
| 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 |
|---|---|---|---|
| 1720173420 | NPI | - | NPPES |
| 2150804C | Other | NC | PSC MEDICARE PROVIDER # |
| 53944 | Other | NC | BLUE CROSS/BLUE SHIELD-NC |
| 8953944 | Medicaid | NC | |
| P00064804 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 39444 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Haywood Regional Medical Center | Clyde, NC | Hospital |
| Pender Memorial Hospital | Burgaw, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 569 |
| The Charlotte-mecklenburg Hospital Authority | 2961310685 | 602 |
| Entity Name | Piedmont Stone Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Entity Name | Dlp Western Carolina Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Entity Name | Novant Health Medical Group Coastal Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Glenn Marks, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-4111 | Dr Phillip Glenn Marks, MD 4420 Lake Boone Trl Ste 203, Raleigh, NC 27607-7505 Ph: (919) 784-2930 |
Justin Van Minh Nguyen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10010 Falls Of Neuse Rd, Raleigh, NC 27614 Phone: 919-350-1570 | |
Dr. Timothy Paul Bukowski, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3821 Ed Dr, Raleigh, NC 27612 Phone: 919-851-5482 Fax: 919-859-1729 | |
Martus Zheng Quan Gn, Urology Medicare: Accepting Medicare Assignments Practice Location: 3480 Wake Forest Rd Ste 506, Raleigh, NC 27609 Phone: 919-862-5600 Fax: 919-862-5610 | |
Dr. Hugh Kenneth Leatherman Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3320 Wake Forest Rd, Suite 320, Raleigh, NC 27609 Phone: 919-790-5500 Fax: 919-790-0108 | |
Dr. Robert Dean Matthews, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave Ste 300, Raleigh, NC 27610 Phone: 919-350-7251 | |
Dr. Joseph D. Neighbors Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3821 Ed Dr, Raleigh, NC 27612 Phone: 919-782-1255 Fax: 919-782-6550 | |
Dr. Mark W Jalkut, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3821 Ed Dr, Raleigh, NC 27612 Phone: 919-782-1255 Fax: 919-782-6550 |