Mr Marshall Edward Putnam, PA-C in Fayetteville, NC

Mr Marshall Edward Putnam, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fayetteville, North Carolina. His current practice location is 217 Glensford Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 483-4647.

Mr Marshall Edward Putnam is licensed to practice in North Carolina (license number 103249) 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 1962459404.

Contact Information

	Mr Marshall Edward Putnam, PA-C
	217 Glensford Dr, Fayetteville, NC 28314-0892
	(910) 483-4647
	(910) 483-6431

Map and Direction

Provider's Profile

Full Name	Mr Marshall Edward Putnam
Gender	Male
Speciality	Physician Assistant - Medical
Location	217 Glensford Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962459404
Provider Enumeration Date: 05/30/2006
Last Update Date: 12/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5496773947
Enrollment ID: I20051103000622

Medical Identifiers

Medical identifiers for Mr Marshall Edward Putnam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962459404	NPI	-	NPPES
8102360	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	103249 (North Carolina)	Secondary
363AM0700X	Physician Assistant - Medical	103249 (North Carolina)	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. Mr Marshall Edward Putnam 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
Mr Marshall Edward Putnam, PA-C 165 Ruth Cir, Fuquay Varina, NC 27526-4209 Ph: (919) 818-4755	Mr Marshall Edward Putnam, PA-C 217 Glensford Dr, Fayetteville, NC 28314-0892 Ph: (910) 483-4647

Reviews and Comments

Physician Assistant Nurses in Fayetteville, NC

Mrs. Angela Chase Jackson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 413 Owen Drive, Suite 201, Fayetteville, NC 28304 Phone: 910-323-9111 Fax: 910-484-2535
Cheryl M. Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006
Christine Trang Warner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Mr. Christopher Galgano, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St Ste 184, Fayetteville, NC 28301 Phone: 910-488-2120
Rachel Catherine Kellomaki, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1880 Quiet Cv, Fayetteville, NC 28304 Phone: 910-323-2477 Fax: 910-323-5931
Ms. Alaine D Jones, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1750 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-485-8831 Fax: 910-485-8832
Kelsey Harmon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 556 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-483-2646

Mr Marshall Edward Putnam, PA-C - Medicare Physician Assistant in Fayetteville, NC