Jordan Kenneth Marshall, MD is a medicare enrolled "Emergency Medicine" physician in East Saint Louis, Illinois. His current practice location is
2001 State St, East Saint Louis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 271-0204.
Jordan Kenneth Marshall is licensed to practice in Illinois (license number 036160684) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396188025.
Physician's Profile
Full Name | Jordan Kenneth Marshall |
---|
Gender | Male |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 2001 State St, East Saint Louis, Illinois |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jordan Kenneth Marshall attended and graduated from in
NPI Data:
- NPI Number: 1396188025
- Provider Enumeration Date: 04/11/2013
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jordan Kenneth Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396188025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0100X | Preventive Medicine - Aerospace Medicine | 0101257159 (Virginia) | Secondary |
208D00000X | General Practice | 0101257159 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 036160684 (Illinois) | 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. Jordan Kenneth Marshall 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 |
Jordan Kenneth Marshall, MD 7383 Hazel Ave, Maplewood, MO 63143-3223 Ph: (907) 482-3613 | Jordan Kenneth Marshall, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-0204 |
Reviews and Comments