| Jordan Kenneth Marshall, MD | |
|
2001 State St, East Saint Louis, IL 62205-1803 | |
| (618) 271-0204 | |
| Not Available |
| Full Name | Jordan Kenneth Marshall |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 12 Years |
| Location | 2001 State St, East Saint Louis, Illinois |
| 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 |
|---|---|---|---|
| 1396188025 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Touchette Regional Hospital Inc | Centreville, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Sparta, Inc. | 0345481255 | 12 |
| Touchette Regional Hospital Inc | 7416843370 | 64 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Entity Name | Touchette Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
| Entity Name | Midwest Emergency Sparta, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194162370 PECOS PAC ID: 0345481255 Enrollment ID: O20130718000343 |
| Entity Name | Midwest Emergency Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Kenneth Marshall, MD 7383 Hazel Ave, Maplewood, MO 63143-3223 Ph: (907) 482-3613 | Jordan Kenneth Marshall, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-0204 |
Dr. Alissa Anne Helm, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Bond Ave, East Saint Louis, IL 62207 Phone: 618-332-3060 | |
Chennaiah Nadindla, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Bond Ave, East Saint Louis, IL 62207 Phone: 618-332-5212 |