| Mark Henry Knelson, MD | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3023 | |
| (919) 784-3497 |
| Full Name | Mark Henry Knelson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 4420 Lake Boone Trl, 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 |
|---|---|---|---|
| 1750307559 | NPI | - | NPPES |
| 8949741 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 38997 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scotland Memorial Hospital | Laurinburg, NC | Hospital |
| Duke Regional Hospital | Durham, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scotland Memorial Hospital, Inc | 0648208504 | 174 |
| Eastern Radiologists Inc | 2466355383 | 81 |
| Durham Radiology Associates Inc | 7719974807 | 19 |
| Entity Name | Scotland Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477791507 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
| Entity Name | Durham Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063438513 PECOS PAC ID: 7719974807 Enrollment ID: O20040429000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Henry Knelson, MD 4020 Westchase Blvd, Suite 390, Raleigh, NC 27607-3938 Ph: (919) 834-2767 | Mark Henry Knelson, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3023 |
Dr. Teerath Peter Tanpitukpongse, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612 Phone: 919-781-1437 Fax: 919-787-4870 | |
Dennis Martin O'donnell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Laura Oliver Thomas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Bryan Maclin Peters, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 Browning Pl, Raleigh, NC 27609 Phone: 919-787-8221 Fax: 919-789-4461 | |
Dr. Rahul Arya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7000 Fax: 919-350-8959 | |
Sejal Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3700 | |
Bryce Alan Harbertson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-954-3624 |