Don A Marshall Jr, MD | |
3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805-4700 | |
(260) 471-0632 | |
(260) 471-3451 |
Full Name | Don A Marshall Jr |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3010 E State Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144274275 | NPI | - | NPPES |
100082250B | Medicaid | IN | |
93110 | Other | IN | ANTHEM HIP |
10082250B | Other | IN | PCCM |
119094 | Other | IN | COMPSYCH |
000000006472 | Other | IN | MPLAN & 3 RIVERS |
000000093110 | Other | IN | ANTHEM BCBS |
0944554 | Medicaid | OH | |
3382 | Other | IN | PHP |
063909 | Other | IN | VALUE OPT |
01008583 | Other | IN | HEALTHPLUS |
01652800 | Other | IN | MEGELLAN |
Entity Name | Midwest Addiction Psychiatric & Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336190149 PECOS PAC ID: 1052588241 Enrollment ID: O20120111000104 |
Mailing Address | Practice Location Address |
---|---|
Don A Marshall Jr, MD 3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805-4700 Ph: (260) 471-0632 | Don A Marshall Jr, MD 3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805-4700 Ph: (260) 471-0632 |
Michelle Elise Wiese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
Mrs. Eunice Wanjiku Hahn, PMHNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-206-7830 | |
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425 | |
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034 | |
Dr. Marlene Clare Bultemeyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 | |
Dr. Ahmed Zakria Youssef Elmaadawi, M.D., Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8024 | |
Larry H. Lambertson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 |