| Robert D Marks, MD | |
|
305 E Main St, Ennis, MT 59729-9043 | |
| (406) 682-4223 | |
| (406) 682-3874 |
| Full Name | Robert D Marks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 305 E Main St, Ennis, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598711673 | NPI | - | NPPES |
| 0013858 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5291 (Montana) | Primary |
| Entity Name | Madison Valley Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223882 PECOS PAC ID: 7719890987 Enrollment ID: O20031112000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Marks, MD 305 N. Main, Ennis, MT 59729 Ph: (406) 682-4223 | Robert D Marks, MD 305 E Main St, Ennis, MT 59729-9043 Ph: (406) 682-4223 |
Bryanna Cordeiro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Ennis, MT 59729 Phone: 406-682-4223 | |
Brandon S Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Ennis, MT 59729 Phone: 406-682-4223 Fax: 406-682-4756 | |
Jaye T Swoboda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 219 North Main St, Ennis, MT 59729 Phone: 406-682-4223 Fax: 406-682-3874 | |
Dustin Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Ennis, MT 59729 Phone: 406-682-4223 Fax: 406-682-4756 | |
Dr. Carson Curtis Blake, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 305 N. Main, Ennis, MT 59729 Phone: 406-682-6862 | |
Maura Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Ennis, MT 59729 Phone: 406-682-4223 Fax: 406-682-4756 |