Mark William Memolo, MD in Gastonia, NC - Medicare Diagnostic Radiology

Mark William Memolo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gastonia, North Carolina. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Gaston Radiology Pa and his current practice location is 620 Summit Crossing Pl, Ste 106, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 867-8021.

Mark William Memolo is licensed to practice in North Carolina (license number 33274) 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 1386627115.

Contact Information

	Mark William Memolo, MD
	620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054
	(704) 867-8021
	(704) 864-4606

Map and Direction

Physician's Profile

Full Name	Mark William Memolo
Gender	Male
Speciality	Diagnostic Radiology
Experience	37 Years
Location	620 Summit Crossing Pl, Gastonia, 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 William Memolo attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1987

NPI Data:

NPI Number: 1386627115
Provider Enumeration Date: 11/25/2005
Last Update Date: 08/23/2010

Medicare PECOS Information:

PECOS PAC ID: 9931398666
Enrollment ID: I20110112000417

Medical Identifiers

Medical identifiers for Mark William Memolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386627115	NPI	-	NPPES
58609	Other		BLUE CROSS BLUE SHIELD
N33274	Medicaid	SC
12402	Other		PARTNERS
73411	Other		MEDCOST
8958609	Medicaid	NC
2353109	Other		AETNA HMO
4630736	Other		AETNA PPO
300061402	Other		RAILROAD MEDICARE
1642996	Other		UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	33274 (North Carolina)	Primary
2085R0204X	Radiology - Vascular & Interventional Radiology	33274 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gaston Radiology Pa	4082680806	18

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 William Memolo allows following entities to bill medicare on his behalf.

Entity Name	Gaston Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290

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 William Memolo 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 William Memolo, MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021	Mark William Memolo, MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021

Reviews and Comments

Radiology Doctors in Gastonia, NC

Mark Thomas Edge, PHD MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606
Chad Michael Clark, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606

Mark William Memolo, MD - Medicare Diagnostic Radiology in Gastonia, NC