Marshall James Criswell, in Lafayette, IN

Marshall James Criswell, is a medicare enrolled "Pediatrics" physician in Lafayette, Indiana. His current practice location is 2600 Greenbush St, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 448-8000.

Marshall James Criswell is licensed to practice in Indiana (license number 01075036A) 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 1508132440.

Contact Information

	Marshall James Criswell,
	2600 Greenbush St, Lafayette, IN 47904-2477
	(765) 448-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Marshall James Criswell
Gender	Male
Speciality	Pediatrics
Location	2600 Greenbush St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508132440
Provider Enumeration Date: 03/26/2012
Last Update Date: 02/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8022329598
Enrollment ID: I20150624002631

Medical Identifiers

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

Identifier	Type	State	Issuer
1508132440	NPI	-	NPPES
201283840	Medicaid	IN
000000939535	Other	IN	ANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01075036A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Marshall James Criswell allows following entities to bill medicare on his behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

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 James Criswell 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
Marshall James Criswell, 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621	Marshall James Criswell, 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000

Reviews and Comments

Pediatrics Doctors in Lafayette, IN

Dr. Lylan S. Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Linnette Sue Maier Woodman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8227
Christopher O Wood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Sabeena Rana Hubbard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698
Lauren E Winsauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000
Theresa Anne Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7611
Nadeem Abbasi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-868-6302

Marshall James Criswell, - Medicare Pediatrics in Lafayette, IN