Thomas Dale Legalley, MD | |
1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | |
(906) 225-3870 | |
(906) 225-4861 |
Full Name | Thomas Dale Legalley |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 52 Years |
Location | 1414 West Fair Avenue, Marquette, Michigan |
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 |
---|---|---|---|
1255375614 | NPI | - | NPPES |
060009221 | Other | RAILROAD MEDICARE | |
34965800 | Medicaid | WI | |
1391202 | Medicaid | MI | |
0605206331 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 4301038201 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Entity Name | Portage Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
Mailing Address | Practice Location Address |
---|---|
Thomas Dale Legalley, MD 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Ph: (906) 225-3870 | Thomas Dale Legalley, MD 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Ph: (906) 225-3870 |
Dr. Robert John Carroll, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Kenneth Buran, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave Ste 32, Marquette, MI 49855 Phone: 906-449-3680 Fax: 833-916-2211 | |
Nelson Eric Gencheff, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Kaitlyn Marie Joyce, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 201, Marquette, MI 49855 Phone: 906-225-4500 Fax: 906-225-3919 | |
John Michael Pap, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Mr. Daniel J Arnold, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 332, Marquette, MI 49855 Phone: 906-225-3922 Fax: 906-225-4527 | |
Jasmine Joseph, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 |