Benjamin Grant Marshall, MD | |
1785 Garden St, Titusville, FL 32796-3221 | |
(321) 269-9612 | |
(321) 269-8433 |
Full Name | Benjamin Grant Marshall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1785 Garden St, Titusville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922369859 | NPI | - | NPPES |
LS576 | Other | FL | PTAN |
ME118384 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD208003 (Louisiana) | Secondary |
207Q00000X | Family Medicine | TRN 17849 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Home Health Care Of Florida | Melbourne, FL | Home health agency |
Parrish Home Health | Titusville, FL | Home health agency |
Hospice Of St Francis Inc | Titusville, FL | Hospice |
Parrish Medical Center | Titusville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mission Family Medicine Llc | 2769869593 | 2 |
My Vital View Llc | 8921434697 | 6 |
Entity Name | My Vital View Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528602794 PECOS PAC ID: 8921434697 Enrollment ID: O20200129001383 |
Entity Name | Mission Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699447086 PECOS PAC ID: 2769869593 Enrollment ID: O20220517003253 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Grant Marshall, MD 1785 Garden St, Titusville, FL 32796-3221 Ph: (213) 269-9612 | Benjamin Grant Marshall, MD 1785 Garden St, Titusville, FL 32796-3221 Ph: (321) 269-9612 |
James T Nichols, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Garden St, Titusville, FL 32796 Phone: 321-268-0128 Fax: 321-268-0668 | |
Mrs. Miranda B Marshall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1785 Garden St, Titusville, FL 32796 Phone: 321-269-9612 | |
Maria C Torres, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 Country Club Dr, Titusville, FL 32780 Phone: 321-264-1052 Fax: 321-264-0778 | |
Dr. Christopher M Manion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 N Washington Ave, Parrish Medical Group - Hospitalist Dept, Titusville, FL 32796 Phone: 321-268-6111 Fax: 321-268-6360 | |
Stuart A. Kauffman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 Fax: 321-806-2087 | |
David R. Quintyne, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Washington Ave, Suite 105, Titusville, FL 32796 Phone: 321-268-0267 Fax: 321-268-3357 | |
Radoslaw Jakub Czajkowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 |