Dr David Earl Marriott, MD is a medicare enrolled "Pediatrics" physician in Yreka, California. His current practice location is
444 Bruce St, Yreka, California. You can reach out to his office (for appointments etc.) via phone at
(530) 842-4121.
Dr David Earl Marriott is licensed to practice in California (license number A180921) 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 1194213678.
Physician's Profile
Full Name | Dr David Earl Marriott |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 444 Bruce St, Yreka, California |
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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: 1194213678
- Provider Enumeration Date: 04/30/2018
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163823352
- Enrollment ID: I20210625000081
Medical Identifiers
Medical identifiers for Dr David Earl Marriott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194213678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0101271644 (Virginia) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 0101271644 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208000000X | Pediatrics | 0101271644 (Virginia) | Secondary |
208000000X | Pediatrics | A180921 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Earl Marriott allows following entities to bill medicare on his behalf.
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
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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 David Earl Marriott 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 |
Dr David Earl Marriott, MD 902 Northview Cir, Yreka, CA 96097-2139 Ph: (360) 632-6952 | Dr David Earl Marriott, MD 444 Bruce St, Yreka, CA 96097-3450 Ph: (530) 842-4121 |
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