Dr Jermeliah Monique Todd Martin, MD | |
200 Hawthorne Ln, Charlotte, NC 28204-2515 | |
(704) 384-4021 | |
(704) 384-5601 |
Full Name | Dr Jermeliah Monique Todd Martin |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 200 Hawthorne Ln, Charlotte, 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 |
---|---|---|---|
1356517692 | NPI | - | NPPES |
1356517692 | Medicaid | NC | |
200990620 | Medicaid | IN | |
5919171 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2011-00863 (North Carolina) | Secondary |
208000000X | Pediatrics | 01068449A (Indiana) | Secondary |
208M00000X | Hospitalist | 2011-00863 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Dr Jermeliah Monique Todd Martin, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-4021 | Dr Jermeliah Monique Todd Martin, MD 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-4021 |
Shakuntala Mathapati, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Nicole A. Cagle Richardson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
David Jerret Pubantz, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211 Phone: 704-381-0500 | |
Joshua Lee Eichenberger, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Stefanie Rose Reed, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241 | |
Thanigaiarsu Thiyagarajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4475 |