Dr Jacob C Marshall Jr, MD - Medicare Family Medicine in O Fallon, IL

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Dr Jacob C Marshall Jr, MD is a medicare enrolled "Family Medicine" physician in O Fallon, Illinois. His current practice location is 103 N Oak St, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (888) 577-6337.

Dr Jacob C Marshall Jr is licensed to practice in Illinois (license number 036102192) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922081249.

Contact Information

Dr Jacob C Marshall Jr, MD
103 N Oak St,
O Fallon, IL 62269-1165
(888) 577-6337
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob C Marshall Jr
GenderMale
SpecialityFamily Medicine
Location103 N Oak St, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922081249
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 07/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9931096526
  • Enrollment ID: I20040228000434

Medical Identifiers

Medical identifiers for Dr Jacob C Marshall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922081249NPI-NPPES
036102192MedicaidIL
036102192 -8MedicaidIL
036102192-9MedicaidIL
1922081249MedicaidMO
08232204OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036102192 (Illinois)Primary
207P00000XEmergency Medicine 036-102192 (Illinois)Secondary

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 Jacob C Marshall Jr allows following entities to bill medicare on his behalf.
Entity NameSalem Township Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20031126000688
Entity NameHshs Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198
Entity NameSt Josephs Hospital Breese Of The Hospital Sisters Of The Third Order
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457319154
PECOS PAC ID: 9638064892
Enrollment ID: O20040217000493
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameMidwest Emergency Sparta, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194162370
PECOS PAC ID: 0345481255
Enrollment ID: O20130718000343
Entity NameGranite City Emergency Medicine Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861946626
PECOS PAC ID: 7012205784
Enrollment ID: O20161012001300

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 Jacob C Marshall Jr 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
Dr Jacob C Marshall Jr, MD
2200 Bowler Rd,
Collinsville, IL 62234-7012

Ph: (618) 977-9607		Dr Jacob C Marshall Jr, MD
103 N Oak St,
O Fallon, IL 62269-1165

Ph: (888) 577-6337

Reviews and Comments


Family Medicine Doctors in O Fallon, IL

Dr. Noah M Cooperstein, MD
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Rema Sanghavi, D.O.
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Dr. Kevin L Pritchett, M.D.
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Practice Location: 100 Springfield Ct, O Fallon, IL 62269
Phone: 618-632-3565    Fax: 618-632-7693

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.