Angelique M Martin, LD | |
4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120 | |
(405) 748-4726 | |
(405) 607-8497 |
Full Name | Angelique M Martin |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 27 Years |
Location | 4140 W Memorial Rd Ste 321, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669570552 | NPI | - | NPPES |
100166870A | Medicaid | OK | |
970 | Other | OK | LD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1796 (Arkansas) | Secondary |
133V00000X | Dietitian, Registered | 970 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Perinatal Center, Pllc | 1153302120 | 7 |
The Perinatal Center, Pllc | 1153302120 | 7 |
Provider Name | The Perinatal Center, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942217815 PECOS PAC ID: 1153302120 Enrollment ID: O20040526000369 |
Mailing Address | Practice Location Address |
---|---|
Angelique M Martin, LD 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120-8300 Ph: (405) 748-4726 | Angelique M Martin, LD 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120 Ph: (405) 748-4726 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 | |
Mercy Hospital Oklahoma City, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-755-1515 |