Marshall Cornelius Freerks Jr, DDS is a medicare enrolled "Clinic/center - Dental" provider in St. Louis, Missouri. His current practice location is
6744 Clayton Rd., Suite 204, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 725-5515.
Marshall Cornelius Freerks Jr is licensed to practice in Missouri (license number 14600) 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 1346488236.
Healthcare Provider's Profile
Full Name | Marshall Cornelius Freerks Jr |
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Gender | Male |
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Speciality | Clinic/center - Dental |
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Location | 6744 Clayton Rd., St. Louis, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346488236
- Provider Enumeration Date: 01/30/2009
- Last Update Date: 01/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 7214236363
- Enrollment ID: I20160425001443
Medical Identifiers
Medical identifiers for Marshall Cornelius Freerks Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346488236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 14600 (Missouri) | Secondary |
261QD0000X | Clinic/center - Dental | 14600 (Missouri) | 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. Marshall Cornelius Freerks Jr 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 |
Marshall Cornelius Freerks Jr, DDS 6744 Clayton Rd., Suite 204, St. Louis, MO 63117-1634 Ph: (314) 725-5515 | Marshall Cornelius Freerks Jr, DDS 6744 Clayton Rd., Suite 204, St. Louis, MO 63117-1634 Ph: (314) 725-5515 |
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