Dr Daniel R Marshall, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Rexburg, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2005 and has 19 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Alpine Dermatology Clinic P.c. and his current practice location is
393 E 2nd N, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 359-4841.
Dr Daniel R Marshall is licensed to practice in Idaho (license number O-0508) 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 1861583486.
Physician's Profile
| Full Name | Dr Daniel R Marshall |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 19 Years |
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| Location | 393 E 2nd N, Rexburg, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Daniel R Marshall attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2005
NPI Data:
- NPI Number: 1861583486
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254428535
- Enrollment ID: I20090714000389
Medical Identifiers
Medical identifiers for Dr Daniel R Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861583486 | NPI | - | NPPES |
| 808295400 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2006018423 (Missouri) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | O-0508 (Idaho) | Primary |
| 207N00000X | Dermatology | O-0508 (Idaho) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Alpine Dermatology Clinic P.c. | 5698827640 | 4 |
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. Dr Daniel R Marshall allows following entities to bill medicare on his behalf.
| Entity Name | Alpine Dermatology Clinic P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588802391
PECOS PAC ID: 5698827640
Enrollment ID: O20090722000314 |
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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. Dr Daniel R Marshall 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 |
|---|
Dr Daniel R Marshall, DO
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 359-4841 | Dr Daniel R Marshall, DO
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 359-4841 |
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