Dr Marshall Edward James Jr, MD - Medicare Family Practice in Frankfort, IL

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Dr Marshall Edward James Jr, MD is a medicare enrolled "Family Medicine" physician in Frankfort, Illinois. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Edgewater Systems For Balanced Living Inc and his current practice location is 20180 S Lagrange Rd, Frankfort, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 464-2010.

Dr Marshall Edward James Jr is licensed to practice in Illinois (license number 036103915) 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 1134179963.

Contact Information

Dr Marshall Edward James Jr, MD
20180 S Lagrange Rd,
Frankfort, IL 60423-3153
(815) 464-2010
(815) 464-2181

Map and Direction




Physician's Profile

Full NameDr Marshall Edward James Jr
GenderMale
SpecialityFamily Practice
Experience30 Years
Location20180 S Lagrange Rd, Frankfort, Illinois
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 Edward James Jr graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1134179963
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 10/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6305858747
  • Enrollment ID: I20170307001919

Medical Identifiers

Medical identifiers for Dr Marshall Edward James Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134179963NPI-NPPES
036103915MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 036103915 (Illinois)Secondary
207Q00000XFamily Medicine 036103915 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edgewater Systems For Balanced Living Inc92343983977

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 Edward James Jr allows following entities to bill medicare on his behalf.
Entity NamePorter-starke Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627598
PECOS PAC ID: 1951293554
Enrollment ID: O20040330000098
Entity NameEdgewater Systems For Balanced Living Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588705784
PECOS PAC ID: 9234398397
Enrollment ID: O20120308000405

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 Edward James 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 Marshall Edward James Jr, MD
3229 Broadway Ste 205,
Gary, IN 46409-1038

Ph: (219) 806-3000		Dr Marshall Edward James Jr, MD
20180 S Lagrange Rd,
Frankfort, IL 60423-3153

Ph: (815) 464-2010

Reviews and Comments


Family Medicine Doctors in Frankfort, IL

Dr. Niby Mathew, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423
Phone: 815-464-5440    
Samantha Jain, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21160 S La Grange Rd, Frankfort, IL 60423
Phone: 815-469-8806    
Tahreer Shatat, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423
Phone: 815-464-5440    Fax: 815-936-5404
Cameron S Karnish, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 21160 S Lagrange Rd, Frankfort, IL 60423
Phone: 815-469-8806    Fax: 815-469-5739
Eric Linden Lee Ii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19552 S Harlem Ave, Building D, Frankfort, IL 60423
Phone: 815-469-3452    
Dr. Rosario Teano De Castro, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 558 Aberdeen Rd, Frankfort, IL 60423
Phone: 815-469-2611    Fax: 815-469-2611
Nadir Mallick, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20180 S Lagrange Rd, Frankfort, IL 60423
Phone: 815-464-2010    Fax: 815-464-2181

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.