Marshall C Bishop, MD
Individual provider Active NPI Family Medicine Physician · Shiner, TX
NPI 1821079260 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1821079260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K8879 (TX)
- Practice address
- 124 E Wolters 2ND
Shiner, TX 77984-7109 - Phone
- (361) 594-3824
- Fax
- (361) 594-4104
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shiner Medical LLP
DRS Wagner Andwagner PA
Practice addresses (Care Compare)
124 E Wolters 2ND St
Shiner, TX 77984-7109
Phone (361) 594-3824
Hospital & facility affiliations
- Advanced Home Health Services
- Excel Complete Home Healthcare Inc
- Yoakum Community Hospital
- Memorial Hospital
- Lavaca Medical Center
- Citizens Medical Center
- Paradigm at Stevens
- Shiner Nursing and Rehabilitation Center
- Stevens Nursing and Rehabilitation Center of Halle
- Yoakum Community Hospital
- Hallettsville Nursing and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Moulton Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Sep 1, 2001 |
| Wagner Medical Clinic L.L.P. |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Sep 1, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000282 | TX | Practitioner - Family Practice |
1355338807 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Wagner & Wagner PA | Family Medicine | Current |
Accepting new patients |
| Shiner Medical LLP | Family Medicine | Current |
Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Oakbend Medical Center | Past | Accepting new patients | |
| Yoakum Community Hospital | Past | Accepting new patients | |
| Winnie-Stowell Hospital District | Past | Accepting new patients | |
| West Wharton County Hospital District | Past | Accepting new patients | |
| Wagner Medical Clinic L.L.P. | Past |
Accepting new patients |
Locations
124 E Wolters 2nd St
Shiner, TX 77984
Phone (361) 594-3824
Interoperability endpoints
- marshal.bishop@wagnerclinic.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K8879 | TX | Yes |
Addresses
Primary practice location
124 E Wolters 2ND
Shiner, TX 77984-7109
Mailing address
PO Box 965
Shiner, TX 77984-0965
Phone (361) 594-3824
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8B8550 | Other | TX | BC |
| 037427402 | Medicaid | TX | |
| 8190N0 | Other | TX | BLUE CROSS |
Other providers in Shiner, TX
- Laura Adamek
- Advanced PT Services, Inc
- Stephen K Ansel
- James Paul Aycock Jr.
- Joy Sharon Bowen
- Kirsten Machicek Bussell
- Jennie Moerbe Chrismon
- Melanie Sue Cowan
- Joanna L Davis
All providers in Shiner, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.