Keith Edward Martin, is a
Peer Specialist based in Roseburg, Oregon. Keith Edward Martin is licensed to practice in * (Not Available) (license number ) and his current practice location is
621 W Madrone St, Roseburg, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 672-2691.
NPI number for Keith Edward Martin is 1184331662 and his current mailing address is Po Box 1121, Roseburg, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184331662.
Healthcare Provider's Profile
| Full Name | Keith Edward Martin |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 621 W Madrone St, Roseburg, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184331662
- Provider Enumeration Date: 11/03/2022
- Last Update Date: 07/20/2023
Medical Identifiers
Medical identifiers for Keith Edward Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184331662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | 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. Keith Edward Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith Edward Martin,
Po Box 1121,
Roseburg, OR 97470-0254
Ph: (541) 672-2691 | Keith Edward Martin,
621 W Madrone St,
Roseburg, OR 97470-3090
Ph: (541) 672-2691 |
Reviews and Comments