Marty Caudle, PA - Medicare Physician Assistant in Greenville, IL

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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 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.

Contact Information

Marty Caudle, PA
404 Durley St,
Greenville, IL 62246
(618) 690-3595
(618) 690-3596

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Provider's Profile

Full NameMarty Caudle
GenderMale
SpecialityPhysician Assistant
Experience27 Years
Location404 Durley St, Greenville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1639318645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4854 (Tennessee)Primary
363A00000XPhysician Assistant PA01451 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Josephs HospitalBreese, ILHospital
Hshs Holy Family HospitalGreenville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hshs Holy Family Hospital Inc751787934925
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde963806489233

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. Marty Caudle allows following entities to bill medicare on his behalf.
Entity NameHSHS Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198
Entity NameSt Josephs Hospital Breese of the Hospital Sisters of the Third Orde
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457319154
PECOS PAC ID: 9638064892
Enrollment ID: O20040217000493
Entity NameHSHS Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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 AddressPractice Location Address
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

Reviews and Comments


Physician Assistant Nurses in Greenville, IL

Caleb Benjamin Mulholland,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Red Ball Trl, Greenville, IL 62246
Phone: 618-664-1240    Fax: 618-690-2189

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.