Martavia Stanford, LABORATORY DIRECTOR is a
Technician, Pathology - Clinical Laboratory Director, Non-physician based in Brookfield, Wisconsin. Martavia Stanford is licensed to practice in Wisconsin (license number 52D2261520) and her current practice location is
120 Bishops Way Ste 165, Brookfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 355-5525.
NPI number for Martavia Stanford is 1548985930 and her current mailing address is 120 Bishops Way Ste 165, Brookfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548985930.
Healthcare Provider's Profile
| Full Name | Martavia Stanford |
|---|
| Gender | Female |
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| Speciality | Technician, Pathology - Clinical Laboratory Director, Non-physician |
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| Location | 120 Bishops Way Ste 165, Brookfield, Wisconsin |
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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: 1548985930
- Provider Enumeration Date: 10/07/2022
- Last Update Date: 10/07/2022
Medical Identifiers
Medical identifiers for Martavia Stanford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548985930 | NPI | - | NPPES |
| 52D2261520 | Other | WI | CLIA STATE OF WISCONSIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | 52D2261520 (Wisconsin) | 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. Martavia Stanford 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 |
|---|
Martavia Stanford, LABORATORY DIRECTOR
120 Bishops Way Ste 165,
Brookfield, WI 53005-6249
Ph: (414) 355-5525 | Martavia Stanford, LABORATORY DIRECTOR
120 Bishops Way Ste 165,
Brookfield, WI 53005-6249
Ph: (414) 355-5525 |
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