| John Marcus Legan, MD | |
|
400 E Tickle St, Dyersburg, TN 38024-3120 | |
| (731) 285-2346 | |
| Not Available |
| Full Name | John Marcus Legan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 400 E Tickle St, Dyersburg, Tennessee |
| 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 |
|---|---|---|---|
| 1790779130 | NPI | - | NPPES |
| 3083641 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD25386 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Mid-south Imaging And Therapeutics, P.a. | 9133106396 | 76 |
| Entity Name | Mid-south Imaging & Therapeutics, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043260763 PECOS PAC ID: 9133106396 Enrollment ID: O20040706000767 |
| Entity Name | Independent Radiology Associates Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194804906 PECOS PAC ID: 6507835154 Enrollment ID: O20040929001253 |
| Mailing Address | Practice Location Address |
|---|---|
| John Marcus Legan, MD Po Box 1296, Dyersburg, TN 38025-1296 Ph: () - | John Marcus Legan, MD 400 E Tickle St, Dyersburg, TN 38024-3120 Ph: (731) 285-2346 |
Thomas Reece Thompson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-285-2346 Fax: 731-285-4717 | |
Mark Allen Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 305 West Court Street, Dyersburg, TN 38024 Phone: 731-285-2346 Fax: 731-286-6023 | |
James Hardy Wolfe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-285-2346 |