Dr Andrew Herod Marshall, DDS is a medicare enrolled "Dentist - General Practice" provider in Hartsville, Tennessee. His current practice location is
110 Mcmurry Blvd, Hartsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 374-9181.
Dr Andrew Herod Marshall is licensed to practice in Tennessee (license number 7791) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407846975.
Healthcare Provider's Profile
| Full Name | Dr Andrew Herod Marshall |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 110 Mcmurry Blvd, Hartsville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407846975
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 07/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436456316
- Enrollment ID: I20160318002200
Medical Identifiers
Medical identifiers for Dr Andrew Herod Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407846975 | NPI | - | NPPES |
| 5440279 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7791 (Tennessee) | Primary |
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. Dr Andrew Herod Marshall 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 |
|---|
Dr Andrew Herod Marshall, DDS
110 Mcmurry Blvd,
Hartsville, TN 37074-1108
Ph: (615) 374-9181 | Dr Andrew Herod Marshall, DDS
110 Mcmurry Blvd,
Hartsville, TN 37074-1108
Ph: (615) 374-9181 |
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