Dr Marshall Kevin Medley, DO is a
Surgery - Vascular Surgery physician based in Westland, Michigan. Dr Marshall Kevin Medley is licensed to practice in Michigan (license number 5101013769) and his current practice location is 35600 Central City Pkwy, Suite 101, Westland, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 421-1000.
NPI number for Dr Marshall Kevin Medley is 1225138340 and his current mailing address is 26901 Beaumont Blvd Ste 3d, Southfield, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225138340.
Physician's Profile
| Full Name | Dr Marshall Kevin Medley |
|---|
| Gender | Male |
|---|
| Speciality | Surgery - Vascular Surgery |
|---|
| Location | 35600 Central City Pkwy, Westland, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225138340
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 11/17/2020
Medical Identifiers
Medical identifiers for Dr Marshall Kevin Medley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225138340 | NPI | - | NPPES |
| 141412 | Other | MI | CARE CHOICES |
| 4774341 | Medicaid | MI | |
| 0007367710 | Other | MI | AETNA |
| 5821256 | Other | MI | BLUE CROSS BLUE SHIELD |
| U92085 | Other | MI | PRIVATE HEALTH CARE SYSTE |
| 000000012192 | Other | MI | CAPE HEALTH PLAN |
| 17178 | Other | MI | MCARE |
| P36227-F | Other | MI | BLUE CARE NETWORK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 5101013769 (Michigan) | Primary |
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 Kevin Medley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marshall Kevin Medley, DO
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849
Ph: () - | Dr Marshall Kevin Medley, DO
35600 Central City Pkwy, Suite 101,
Westland, MI 48185-2046
Ph: (734) 421-1000 |
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