Marina Sidra Gerges, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jasper, Indiana. Her current practice location is
966 Bartley St, Jasper, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 996-5425.
Marina Sidra Gerges is licensed to practice in Indiana (license number 11020796A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053973636.
Physician's Profile
Full Name | Marina Sidra Gerges |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 966 Bartley St, Jasper, Indiana |
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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: 1053973636
- Provider Enumeration Date: 07/03/2019
- Last Update Date: 07/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274868146
- Enrollment ID: I20190715002083
Medical Identifiers
Medical identifiers for Marina Sidra Gerges such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053973636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11020796A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11020796A (Indiana) | 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. Marina Sidra Gerges 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 |
Marina Sidra Gerges, 515 W 9th Street, Unit A, Jasper, IN 47546 Ph: (513) 546-3224 | Marina Sidra Gerges, 966 Bartley St, Jasper, IN 47546-2641 Ph: (812) 996-5425 |
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