Ricca Martin, QMHS 3YRS CMS is a
Community Health Worker based in Columbus, Ohio. Ricca Martin is licensed to practice in Ohio (license number ) and her current practice location is
195 N Grant Ave, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 260-8300.
NPI number for Ricca Martin is 1205321585 and her current mailing address is 434 Eastland Rd, Berea, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205321585.
Healthcare Provider's Profile
| Full Name | Ricca Martin |
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| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 195 N Grant Ave, Columbus, Ohio |
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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: 1205321585
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 11/08/2022
Medical Identifiers
Medical identifiers for Ricca Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205321585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 181500 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (Ohio) | 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. Ricca 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 |
|---|
Ricca Martin, QMHS 3YRS CMS
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 234-2006 | Ricca Martin, QMHS 3YRS CMS
195 N Grant Ave,
Columbus, OH 43215-2855
Ph: (440) 260-8300 |
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