Lizatte Martin, is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Churchton, Maryland. Lizatte Martin is licensed to practice in * (Not Available) (license number ) and her current practice location is
1228 Garret Ave, Churchton, Maryland. She can be reached at her office (for appointments etc.) via phone at
(667) 200-6006.
NPI number for Lizatte Martin is 1841752490 and her current mailing address is 1228 Garret Ave, Churchton, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841752490.
Healthcare Provider's Profile
| Full Name | Lizatte Martin |
|---|
| Gender | Female |
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| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|
| Location | 1228 Garret Ave, Churchton, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841752490
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 04/03/2019
Medical Identifiers
Medical identifiers for Lizatte Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841752490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (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. Lizatte 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 |
|---|
Lizatte Martin,
1228 Garret Ave,
Churchton, MD 20733-9520
Ph: (667) 200-6006 | Lizatte Martin,
1228 Garret Ave,
Churchton, MD 20733-9520
Ph: (667) 200-6006 |
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