Marshall J Crowther, MD is a
Pediatrics - Sports Medicine physician based in University, Mississippi. Marshall J Crowther is licensed to practice in Mississippi (license number 23389) and his current practice location is 400 Rebel Drive, University, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 915-7274.
NPI number for Marshall J Crowther is 1639197494 and his current mailing address is Po Box 1848, 400 Rebel Drive, University, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639197494.
Physician's Profile
Full Name | Marshall J Crowther |
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Gender | Male |
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Speciality | Pediatrics - Sports Medicine |
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Location | 400 Rebel Drive, University, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639197494
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 12/15/2014
Medical Identifiers
Medical identifiers for Marshall J Crowther such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639197494 | NPI | - | NPPES |
104966 | Medicaid | AL | |
051593910 | Other | AL | BCBS |
114548 | Medicaid | AL | |
P00799667 | Other | AL | RAILROAD MEDICARE |
125307 | Medicaid | AL | |
51100240 | Other | AL | BCBS |
51113111 | Other | AL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 27417 (Alabama) | Secondary |
208000000X | Pediatrics | 24443 (South Carolina) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | 23389 (Mississippi) | 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. Marshall J Crowther is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marshall J Crowther, MD Po Box 1848, 400 Rebel Drive, University, MS 38677-1848 Ph: (662) 915-7274 | Marshall J Crowther, MD 400 Rebel Drive, University, MS 38677 Ph: (662) 915-7274 |
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