| Dr John Edward Marvel, MD | |
|
1616 Smith St, Logansport, IN 46947-1264 | |
| (574) 722-3650 | |
| (574) 722-5741 |
| Full Name | Dr John Edward Marvel |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 45 Years |
| Location | 1616 Smith St, Logansport, Indiana |
| 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 |
|---|---|---|---|
| 1265432173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01035352 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Memorial Hospital | Logansport, IN | Hospital |
| Ascension St Vincent Anderson | Anderson, IN | Hospital |
| Franciscan Health Crawfordsville | Crawfordsville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Care Group Pc | 1850295858 | 18 |
| University Dermatology Center Pc | 5496706210 | 11 |
| Memorial Hospital | 8123923281 | 60 |
| Entity Name | Cancer Care Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659491132 PECOS PAC ID: 1850295858 Enrollment ID: O20031121000316 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
| Entity Name | University Dermatology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578615266 PECOS PAC ID: 5496706210 Enrollment ID: O20050616000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Edward Marvel, MD 6100 W 96th St, Ste 125, Indianapolis, IN 46278-6005 Ph: (317) 715-1800 | Dr John Edward Marvel, MD 1616 Smith St, Logansport, IN 46947-1264 Ph: (574) 722-3650 |
Michael S Liebner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave., #390, Logansport, IN 46947 Phone: 574-722-1313 Fax: 574-735-3058 | |
William D Harvey, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave., #390, Logansport, IN 46947 Phone: 574-722-1313 Fax: 574-735-3058 | |
Scott W Schafer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave., #390, Logansport, IN 46947 Phone: 574-722-1313 Fax: 574-735-3058 |