Justin Marshall, in Provo, UT - Medicare Radiology

Justin Marshall, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Provo, Utah. His current practice location is 1055 N 300 W Ste 104, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 379-6700.

Justin Marshall is licensed to practice in Utah (license number 13816321-1204) 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 1184129272.

Contact Information

	Justin Marshall,
	1055 N 300 W Ste 104, Provo, UT 84604-3381
	(801) 379-6700
	(801) 225-1525

Map and Direction

Physician's Profile

Full Name	Justin Marshall
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1055 N 300 W Ste 104, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184129272
Provider Enumeration Date: 03/29/2018
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6901154541
Enrollment ID: I20240614003852

Medical Identifiers

Medical identifiers for Justin Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184129272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	13816321-1204 (Utah)	Primary
2085R0202X	Radiology - Diagnostic Radiology	DO2023-0585 (New Mexico)	Secondary

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. Justin Marshall allows following entities to bill medicare on his behalf.

Entity Name	Unm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589

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. Justin 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
Justin Marshall, Po Box 1623, Evansville, IN 47706-0025 Ph: (541) 758-5047	Justin Marshall, 1055 N 300 W Ste 104, Provo, UT 84604-3381 Ph: (801) 379-6700

Reviews and Comments

Radiology Doctors in Provo, UT

Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699

Justin Marshall, - Medicare Radiology in Provo, UT