Martice Fontes, is a
Marriage & Family Therapist based in Burley, Idaho. Martice Fontes is licensed to practice in Idaho (license number LAMFT-5182) and her current practice location is
2271 Overland Ave Ste 5, Burley, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 678-9114.
NPI number for Martice Fontes is 1831518976 and her current mailing address is 2271 Overland Ave Ste 5, Burley, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831518976.
Healthcare Provider's Profile
| Full Name | Martice Fontes |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 2271 Overland Ave Ste 5, Burley, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831518976
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 04/15/2014
Medical Identifiers
Medical identifiers for Martice Fontes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831518976 | NPI | - | NPPES |
| 1376561274 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | LAMFT-5182 (Idaho) | 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. Martice Fontes 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 |
|---|
Martice Fontes,
2271 Overland Ave Ste 5,
Burley, ID 83318-2957
Ph: (208) 678-9114 | Martice Fontes,
2271 Overland Ave Ste 5,
Burley, ID 83318-2957
Ph: (208) 678-9114 |
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