Stuart D Marshall, DDS is a medicare enrolled "Dentist" provider in Driggs, Idaho. His current practice location is
150 S Main St, Ste 1, Driggs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 354-9700.
Stuart D Marshall is licensed to practice in Idaho (license number D3890) 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 1215026315.
Healthcare Provider's Profile
| Full Name | Stuart D Marshall |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 150 S Main St, Driggs, Idaho |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1215026315
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 03/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890090518
- Enrollment ID: I20160217002459
Medical Identifiers
Medical identifiers for Stuart D Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215026315 | NPI | - | NPPES |
| 807204600 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D3890 (Idaho) | 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. Stuart D 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 |
|---|
Stuart D Marshall, DDS
150 S Main St, Ste 1,
Driggs, ID 83422
Ph: (208) 354-9700 | Stuart D Marshall, DDS
150 S Main St, Ste 1,
Driggs, ID 83455
Ph: (208) 354-9700 |
Reviews and Comments