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

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



Physician's Profile

Full NameMark William Memolo
GenderMale
SpecialityDiagnostic Radiology
Experience37 Years
Location620 Summit Crossing Pl, Gastonia, North Carolina
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1386627115NPI-NPPES
58609OtherBLUE CROSS BLUE SHIELD
N33274MedicaidSC
12402OtherPARTNERS
73411OtherMEDCOST
8958609MedicaidNC
2353109OtherAETNA HMO
4630736OtherAETNA PPO
300061402OtherRAILROAD MEDICARE
1642996OtherUNITED HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 33274 (North Carolina)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 33274 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caromont Regional Medical CenterGastonia, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gaston Radiology Pa408268080619

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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 NameGaston Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356324487
PECOS PAC ID: 4082680806
Enrollment ID: O20040902001290

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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 AddressPractice 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

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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

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