Dr Marvin L Speer, DDS MS in Alton, IL - Medicare Dentist Provider

Dr Marvin L Speer, DDS MS is a medicare enrolled "Dentist - Endodontics" provider in Alton, Illinois. His current practice location is 2800 College Ave Bldg 273, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 474-7068.

Dr Marvin L Speer is licensed to practice in Illinois (license number 136000238) 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 1295724045.

Contact Information

	Dr Marvin L Speer, DDS MS
	2800 College Ave Bldg 273, Alton, IL 62002-4700
	(618) 474-7068
	Not Available

Healthcare Provider's Profile

Full Name	Dr Marvin L Speer
Gender	Male
Speciality	Dentist - Endodontics
Location	2800 College Ave Bldg 273, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295724045
Provider Enumeration Date: 10/14/2005
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 6204134893
Enrollment ID: I20160414001913

Medical Identifiers

Medical identifiers for Dr Marvin L Speer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295724045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	136.000238 (Illinois)	Secondary
1223E0200X	Dentist - Endodontics	136000238 (Illinois)	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. Dr Marvin L Speer 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
Dr Marvin L Speer, DDS MS 2800 College Ave Bldg 273, Alton, IL 62002-4700 Ph: (618) 474-7068	Dr Marvin L Speer, DDS MS 2800 College Ave Bldg 273, Alton, IL 62002-4700 Ph: (618) 474-7068

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Dentist in Alton, IL

Jessica Chellis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Sandra Kay Highsmith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7208
Dr. Lucas Winebaugh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Adam Kennedy Remm, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Prof. Martin F. Land, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave - Bldg. 263, Southern Illinois University, School Of Dental Medicine, Alton, IL 62002 Phone: 618-474-7072 Fax: 618-474-7141
Dr. Patrick William Malone, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 630-391-8330
Dr. Alexandria Nicole Wold, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7164

Dr Marvin L Speer, DDS MS - Medicare Dentist in Alton, IL