| Dr Marshall Edward James Jr, MD | |
|
5818 Columbia Ave, Hammond, IN 46320-2607 | |
| (219) 237-5160 | |
| (219) 321-1935 |
| Full Name | Dr Marshall Edward James Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 5818 Columbia Ave, Hammond, 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 |
|---|---|---|---|
| 1134179963 | NPI | - | NPPES |
| 036103915 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036103915 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036103915 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 01078039A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgewater Systems For Balanced Living Inc | 9234398397 | 6 |
| Entity Name | Porter-starke Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
| Entity Name | Edgewater Systems For Balanced Living Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marshall Edward James Jr, MD Po Box 746721, Atlanta, GA 30374-6721 Ph: (773) 352-1515 | Dr Marshall Edward James Jr, MD 5818 Columbia Ave, Hammond, IN 46320-2607 Ph: (219) 237-5160 |
Dr. Krishna Pahuja, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4020 Calumet Ave, Hammond, IN 46320 Phone: 219-933-4889 Fax: 219-933-3153 | |
John George, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5530 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2291 | |
Jeannie W Rhodes, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5530 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2291 Fax: 219-933-2295 | |
Dr. Leslie James Allison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6920 Indianapolis Blvd, Hammond, IN 46324 Phone: 219-763-8112 Fax: 219-764-3251 | |
Sujittra Niyakorn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4022 Hohman Ave, Hammond, IN 46327 Phone: 219-937-3300 Fax: 219-931-0299 | |
Kwame G. Foucher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 559 State St, Hammond, IN 46320 Phone: 219-937-3300 Fax: 219-803-7252 | |
Christopher John Mcintire, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3831 Hohman Ave, Hammond, IN 46327 Phone: 219-931-1960 Fax: 219-931-1235 |