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Melinda Lauren Marshall

Student in an Organized Health Care Education/Training Program

Student, Health Care

101 City Drive S, Building 56, Suite 800, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as MELINDA MARSHALL.

Based on the most recent information from CMS, provider Melinda Lauren Marshall is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1932548047
Provider Type
Individual
Full Name
Marshall, Melinda Lauren
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/21/2013
Last Updated
12/22/2021

Contact Information

Practice Location

101 City Drive S, Building 56, Suite 800, Orange, CA 92868

(909) 915-7040

Unlisted Fax

Mailing Location

101 City Drive S, Building 56, Suite 800, Orange, CA 92868

(909) 915-7040

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Melinda Lauren Marshall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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