Mark P Legolvan, DO in Winston Salem, NC

Mark P Legolvan, DO is a medicare enrolled "Pathology - Hematology" physician in Winston Salem, North Carolina. He went to University Of New England, College Of Osteo Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Greensboro Pathology, Llc and his current practice location is 105 W 4th St Ste 600, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 306-5777.

Mark P Legolvan is licensed to practice in Rhode Island (license number DO00627) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619194560.

Contact Information

	Mark P Legolvan, DO
	105 W 4th St Ste 600, Winston Salem, NC 27101-3816
	(336) 306-5777
	(401) 444-5088

Map and Direction

Physician's Profile

Full Name	Mark P Legolvan
Gender	Male
Speciality	Pathology
Experience	22 Years
Location	105 W 4th St Ste 600, Winston Salem, 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.

Medical Education and Training:

Mark P Legolvan attended and graduated from University Of New England, College Of Osteo Medicine in 2002

NPI Data:

NPI Number: 1619194560
Provider Enumeration Date: 04/20/2007
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 3274683313
Enrollment ID: I20191214000206

Medical Identifiers

Medical identifiers for Mark P Legolvan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619194560	NPI	-	NPPES
2019-02503	Other	NC	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZH0000X	Pathology - Hematology	2019-02503 (North Carolina)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	DO00627 (Rhode Island)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2019-02503 (North Carolina)	Secondary
207ZH0000X	Pathology - Hematology	DO00627 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Moses H. Cone Memorial Hospital, The	Greensboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greensboro Pathology, Llc	1153315643	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark P Legolvan allows following entities to bill medicare on his behalf.

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

Entity Name	Pathologists Diagnostic Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942278411 PECOS PAC ID: 9335113513 Enrollment ID: O20040824000104

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark P Legolvan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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 105 W 4th St Ste 600, Winston Salem, NC 27101-3816 Ph: (336) 306-5777

Reviews and Comments

Pathology Doctors in Winston Salem, NC

Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202
Abbott Julian Garvin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607
Graham Parks, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595

Mark P Legolvan, DO - Medicare Pathology in Winston Salem, NC