Dr Marshall Gray Edmondson, MD - Medicare Diagnostic Radiology in Tupelo, MS

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Dr Marshall Gray Edmondson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tupelo, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Baptist Memorial Hospital-calhoun Inc, Choctaw Regional Medical Center, Imaging Centers For Excellence, Llc, Oxford Pre Op And Imaging Center Llc, Premier Radiology Inc, Tate County Hospital, Premier Radiology Inc and his current practice location is 620 Crossover Road, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 620-7102.

Dr Marshall Gray Edmondson is licensed to practice in Mississippi (license number 06183) 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 1720026255.

Contact Information

Dr Marshall Gray Edmondson, MD
620 Crossover Road,
Tupelo, MS 38801-4944
(662) 620-7102
(662) 620-7106

Map and Direction




Physician's Profile

Full NameDr Marshall Gray Edmondson
GenderMale
SpecialityDiagnostic Radiology
Experience53 Years
Location620 Crossover Road, Tupelo, Mississippi
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:
  • Dr Marshall Gray Edmondson attended and graduated from University Of Mississippi School Of Medicine in 1971
  NPI Data:
  • NPI Number: 1720026255
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991766248
  • Enrollment ID: I20041207001069

Medical Identifiers

Medical identifiers for Dr Marshall Gray Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720026255NPI-NPPES
00014322MedicaidMS
009700310MedicaidAL
300020470OtherMSRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 06183 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winston Medical Center & SwingbedLouisville, MSHospital
Baptist Memorial Hospital - Calhoun, Inc.Calhoun city, MSHospital
Choctaw Regional Medical CenterAckerman, MSHospital
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Memorial Hospital-calhoun Inc539502421020
Choctaw Regional Medical Center256768220626
Imaging Centers For Excellence, Llc640685453815
Oxford Pre Op And Imaging Center Llc084044499816
Premier Radiology Inc276945224220
Tate County Hospital610328216522
Premier Radiology Inc276945224220

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 Marshall Gray Edmondson allows following entities to bill medicare on his behalf.
Entity NamePremier Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083669121
PECOS PAC ID: 2769452242
Enrollment ID: O20040730000681
Entity NameImaging Center At Gloster Creek Village Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907536
PECOS PAC ID: 5991771255
Enrollment ID: O20040908000606
Entity NameMedical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316075864
PECOS PAC ID: 5698731271
Enrollment ID: O20041206000515
Entity NameTippah County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891720009
PECOS PAC ID: 5193746709
Enrollment ID: O20051212000167
Entity NameImaging Centers For Excellence, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730281148
PECOS PAC ID: 6406854538
Enrollment ID: O20061127000362
Entity NameOxford Pre Op & Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750646436
PECOS PAC ID: 0840444998
Enrollment ID: O20130125000383
Entity NameChoctaw Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502
Entity NameBaptist Memorial Hospital-calhoun Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881142461
PECOS PAC ID: 5395024210
Enrollment ID: O20161203000022
Entity NameTate County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285331298
PECOS PAC ID: 6103282165
Enrollment ID: O20230517000566

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 Marshall Gray Edmondson 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 Marshall Gray Edmondson, MD
Post Office Box 980,
Tupelo, MS 38802-0980

Ph: (662) 620-7102		Dr Marshall Gray Edmondson, MD
620 Crossover Road,
Tupelo, MS 38801-4944

Ph: (662) 620-7102

Reviews and Comments


Radiology Doctors in Tupelo, MS

Dr. Anthony David Junck, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Rd, Tupelo, MS 38801
Phone: 662-842-1758    Fax: 662-844-8298
Gillbert Daryl Hallman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Rd, Tupelo, MS 38801
Phone: 662-620-7102    Fax: 662-620-7106
Dr. Robert Conrad Becker, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Road, Tupelo, MS 38801
Phone: 662-620-7101    Fax: 662-842-1457
Dr. William Ray Reed Jr., M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 990 South Madison Street, Tupelo, MS 38801
Phone: 662-620-7101    Fax: 662-842-1457
Dr. William Russell Johnson, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Rd, Tupelo, MS 38801
Phone: 662-842-1758    
Clinton R. Smith, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Rd, Tupelo, MS 38801
Phone: 662-620-7102    Fax: 662-620-7106
Dr. Eric Ward Emig, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Crossover Road, Tupelo, MS 38801
Phone: 662-620-7101    Fax: 662-842-1457

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.