Marty Caudle, PA is a medicare enrolled "Physician Assistant" in Greenville, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F, Hshs Medical Group Inc, Hshs Holy Family Hospital Inc, St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde and his current practice location is
404 Durley St, Greenville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 690-3595.
Marty Caudle is licensed to practice in Tennessee (license number 4854) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639318645.
Provider's Profile
| Full Name | Marty Caudle |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 404 Durley St, Greenville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marty Caudle attended and graduated from Saint Louis University School Of Medicine in 1999
NPI Data:
- NPI Number: 1639318645
- Provider Enumeration Date: 02/13/2009
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880742535
- Enrollment ID: I20240110005063
Medical Identifiers
Medical identifiers for Marty Caudle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639318645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4854 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | PA01451 (Oregon) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F | 4183617517 | 16 |
| Hshs Medical Group Inc | 5092857821 | 181 |
| Hshs Holy Family Hospital Inc | 7517879349 | 22 |
| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | 9638064892 | 31 |
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. Marty Caudle 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 |
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Marty Caudle, PA
404 Durley St,
Greenville, IL 62246-1504
Ph: (186) 903-5956 | Marty Caudle, PA
404 Durley St,
Greenville, IL 62246
Ph: (618) 690-3595 |
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