Dr Jose G Martinez, MD | |
5925 Two Pines Trl, Wake Forest, NC 27587-8461 | |
(919) 556-2704 | |
(919) 556-2704 |
Full Name | Dr Jose G Martinez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5925 Two Pines Trl, 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 |
---|---|---|---|
1417907858 | NPI | - | NPPES |
89-54037 | Medicaid | MD | |
89-54037 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | D0045688 (Maryland) | Secondary |
208M00000X | Hospitalist | 95-00134 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 165417 (Maryland) | Primary |
Entity Name | Genesis Eldercare Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881635183 PECOS PAC ID: 9830002534 Enrollment ID: O20050124000329 |
Entity Name | Mdics Rehabilitative Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124313309 PECOS PAC ID: 4981861903 Enrollment ID: O20120206000334 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180117001189 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose G Martinez, MD 5925 Two Pines Trl, Wake Forest, NC 27587-8461 Ph: (919) 556-2704 | Dr Jose G Martinez, MD 5925 Two Pines Trl, Wake Forest, NC 27587-8461 Ph: (919) 556-2704 |
Ethel Caroline Shore, PA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 3150 Rogers Rd Ste 101, Wake Forest, NC 27587 Phone: 919-504-4000 Fax: 984-235-1250 | |
Dr. Kavitha Subramanian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3150 Rogers Rd Ste 220, Wake Forest, NC 27587 Phone: 919-488-4576 Fax: 919-488-4591 | |
Dr. Daniel Thomas Sicking, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 S Main St, Suite 100, Wake Forest, NC 27587 Phone: 919-562-4441 Fax: 919-562-5779 | |
Dr. Lydia Elaine Boyd Campbell, MD, MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1980 South Main Street, Wake Forest, NC 27587 Phone: 919-229-8010 Fax: 919-229-8009 | |
Ghassan Al-sabbagh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10540 Ligon Mill Rd Ste 109, Wake Forest, NC 27587 Phone: 919-554-6253 Fax: 919-554-3777 | |
Dr. Mohammad Abul Kalam Khan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1751 S Main St, Wake Forest, NC 27587 Phone: 919-556-7499 Fax: 919-562-0943 | |
Dr. Francisco A Castillos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11635 Northpark Dr, Suite 250, Wake Forest, NC 27587 Phone: 919-825-4637 Fax: 919-562-0444 |