Dr Jerry Lee Marshall, DMD is a
Dentist - General Practice based in North Pekin, Illinois. Dr Jerry Lee Marshall is licensed to practice in Illinois (license number ) and his current practice location is
135a-b Radio City Drive, North Pekin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 382-2229.
NPI number for Dr Jerry Lee Marshall is 1528118239 and his current mailing address is 466 S Prairie St, Bethalto, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528118239.
Healthcare Provider's Profile
Full Name | Dr Jerry Lee Marshall |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 135a-b Radio City Drive, North Pekin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528118239
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jerry Lee Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528118239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | 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 Jerry Lee Marshall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jerry Lee Marshall, DMD 466 S Prairie St, Bethalto, IL 62010-1816 Ph: (618) 377-2482 | Dr Jerry Lee Marshall, DMD 135a-b Radio City Drive, North Pekin, IL 61554 Ph: (309) 382-2229 |
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