Christine Louise Martin, MD | |
1030 Siena Dr, Wake Forest, NC 27587-2781 | |
(919) 235-6511 | |
Not Available |
Full Name | Christine Louise Martin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1030 Siena Dr, Wake Forest, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871685370 | NPI | - | NPPES |
278933 | Medicaid | OR | |
1871685370 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD27885 (Oregon) | Secondary |
208000000X | Pediatrics | 2024-02643 (North Carolina) | Primary |
Entity Name | Santa Rosa Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
Mailing Address | Practice Location Address |
---|---|
Christine Louise Martin, MD Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Christine Louise Martin, MD 1030 Siena Dr, Wake Forest, NC 27587-2781 Ph: (919) 235-6511 |
Dr. Aarthi S Agaram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Jeffrey B Perrin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 | |
Sarah Young Gessner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Christian Nechyba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 Rogers Rd Ste 210, Wake Forest, NC 27587 Phone: 919-385-2120 Fax: 919-385-2144 | |
Heather Braddock Acevedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Dr. Dirk Hamp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 | |
Dr. James M Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096 |