Dustin Marmalich, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Long Beach, Mississippi. His current practice location is
4013 Beatline Rd Ste A, Long Beach, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 424-4425.
Dustin Marmalich is licensed to practice in Mississippi (license number 25543) 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 1093135154.
Physician's Profile
Full Name | Dustin Marmalich |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 4013 Beatline Rd Ste A, Long Beach, Mississippi |
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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: 1093135154
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 10/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 2668768417
- Enrollment ID: I20160906000648
Medical Identifiers
Medical identifiers for Dustin Marmalich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093135154 | NPI | - | NPPES |
04334707 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 25543 (Mississippi) | 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. Dustin Marmalich allows following entities to bill medicare on his behalf.
Entity Name | Bhg Lxxii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699440149 PECOS PAC ID: 5597178244 Enrollment ID: O20210119002422 |
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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. Dustin Marmalich 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 |
Dustin Marmalich, MD 4013 Beatline Rd Ste A, Long Beach, MS 39560-4135 Ph: (228) 200-0720 | Dustin Marmalich, MD 4013 Beatline Rd Ste A, Long Beach, MS 39560 Ph: (228) 424-4425 |
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