| Dr Sarah R Marshall, MD | |
|
630 Broadway St, Madison, IN 47250-3310 | |
| (812) 273-5437 | |
| (812) 801-8005 |
| Full Name | Dr Sarah R Marshall |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 630 Broadway St, Madison, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619959723 | NPI | - | NPPES |
| 892514 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 32855 (Arizona) | Primary |
| Entity Name | Marshall Pediatrics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730645458 PECOS PAC ID: 1153663398 Enrollment ID: O20190508002035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sarah R Marshall, MD Po Box 189, Madison, IN 47250-0189 Ph: (812) 273-5437 | Dr Sarah R Marshall, MD 630 Broadway St, Madison, IN 47250-3310 Ph: (812) 273-5437 |
Dr. Jennifer A Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62 # Level2, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Dr. Jenna Aleea Ali, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 | |
Stephanie Nicole Morgan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2420 Wilson Ave, Madison, IN 47250 Phone: 812-292-4464 | |
Susan M Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Diamond N Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1373 E State Road 62, Level 2, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 | |
Patrick W Stack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0300 Fax: 812-801-0585 |