MEDICARE: ELIZABETH LEONILA PALAVECINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZM0300X	Medical Microbiology Physician	200301032	NC
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	200301032	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7067670	OTHER	NC	AETNA
3	803319	OTHER	NC	PARTNERS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1341V	OTHER	NC	BCBS
6	C8207	OTHER	NC	MEDCOST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790769180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH LEONILA PALAVECINO MD

Provider Business Mailing Address
First Line	:	PO BOX 344
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27102-0344
Country	:	US
Telephone Number	:	336-716-2255
Fax Number	:	336-716-7595

Provider Business Practice Location Address
First Line	:	MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-2255
Fax Number	:	336-716-7595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	08/23/2010

Similar Medicare Providers

1285602227 — DR. JOANNA WATSON VAN NOY M.D.
Practice Location Address:

1370 W D ST
NORTH WILKESBORO, NC
28659-3506

Practice Phone: 336-716-4357
Practice Fax: 336-716-7595

1215904248 — DR. ELIZABETH S NORMAN M.D.
Practice Location Address:

3333 SILAS CREEK PKWY
WINSTON SALEM, NC
27103-3013

Practice Phone: 336-718-3734
Practice Fax: 336-718-3547

1609917137 — DR. MARIA I SANTE M.D.
Practice Location Address:

DEPARTAMENTO DE PATOLOGIA RCM , EDIF. PRINCIPAL RCM PISO 3, OFIC 393
RIO PIEDRAS, PR
00935

Practice Phone: 787-758-2525
Practice Fax: 787-754-0710

1063899623 — DR. DAVID CURTIS GASTON M.D., PH.D.
Practice Location Address:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
37232-0001

Practice Phone: 615-322-5000
Practice Fax:

1871573212 — ROBIN PATEL M.D.
Practice Location Address:

200 1ST ST SW
ROCHESTER, MN
55905-0001

Practice Phone: 507-284-2511
Practice Fax:

1720050388 — JOSEPH D YAO M.D.
Practice Location Address:

200 1ST ST SW
ROCHESTER, MN
55905-0001

Practice Phone: 507-284-2511
Practice Fax:

Directions to “ ELIZABETH LEONILA PALAVECINO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.