Marlynn Giles Stovall, MD is a medicare enrolled "Emergency Medicine" physician in Waverly, Tennessee. Her current practice location is
451 Highway 13 S, Waverly, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 290-0241.
Marlynn Giles Stovall is licensed to practice in Tennessee (license number MD021695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174547376.
Physician's Profile
| Full Name | Marlynn Giles Stovall |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 451 Highway 13 S, Waverly, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174547376
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921992942
- Enrollment ID: I20040211000337
Medical Identifiers
Medical identifiers for Marlynn Giles Stovall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174547376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | MD021695 (Tennessee) | Primary |
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. Marlynn Giles Stovall allows following entities to bill medicare on her behalf.
| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
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| Entity Name | South Central Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
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| Entity Name | Concord Medical Group Of Kentucky Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
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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. Marlynn Giles Stovall 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 Address | Practice Location Address |
Marlynn Giles Stovall, MD 1013 Saratoga Dr, Brentwood, TN 37027-7465 Ph: (615) 373-2404 | Marlynn Giles Stovall, MD 451 Highway 13 S, Waverly, TN 37185-2109 Ph: (931) 290-0241 |
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