| Mark P Legolvan, DO | |
|
706 Green Valley Rd Ste 104, Greensboro, NC 27408-7043 | |
| (336) 387-2500 | |
| (336) 387-2501 |
| Full Name | Mark P Legolvan |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 23 Years |
| Location | 706 Green Valley Rd Ste 104, Greensboro, 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 |
|---|---|---|---|
| 1619194560 | NPI | - | NPPES |
| 2019-02503 | Other | NC | STATE LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Alamance Regional Medical Center | Burlington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greensboro Pathology, Llc | 1153315643 | 18 |
| Entity Name | Gastroenterology Associates Of The Piedmont Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679687586 PECOS PAC ID: 4587568860 Enrollment ID: O20040706001386 |
| Entity Name | Greensboro Pathology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023084340 PECOS PAC ID: 1153315643 Enrollment ID: O20040707001432 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Legolvan, DO Po Box 30369, Winston Salem, NC 27130-0369 Ph: (336) 306-5777 | Mark P Legolvan, DO 706 Green Valley Rd Ste 104, Greensboro, NC 27408-7043 Ph: (336) 387-2500 |
Valerie Jeanette Fields, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4380 Federal Dr, Suite1, Greensboro, NC 27410 Phone: 336-315-6270 Fax: 336-235-0435 | |
Kelly Leigh West, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2006 New Garden Road, Suite 106, Greensboro, NC 27410 Phone: 336-609-6240 | |
Dr. Julia Sodeman Manny, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd, Ste 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Dr. Janice Johnson Hessling, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4380 Federal Dr, Suite 100, Greensboro, NC 27410 Phone: 336-664-6105 Fax: 336-235-0434 | |
Jonathan Yao, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 706 Green Valley Rd, Suite 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Christine Shan-shan Lin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd, Suite 104, Greensboro, NC 27408 Phone: 336-387-2500 | |
Dawn Lain Butler, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 706 Green Valley Rd Ste 104, Greensboro, NC 27408 Phone: 336-387-2500 Fax: 844-751-9263 |