Dr Samuel Ethan Marthinsen, DO is a
Student In An Organized Health Care Education/training Program physician based in Oakland, California. Dr Samuel Ethan Marthinsen is licensed to practice in * (Not Available) (license number ) and his current practice location is 350 Hawthorne Ave, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 869-8751.
NPI number for Dr Samuel Ethan Marthinsen is 1861954240 and his current mailing address is 350 Hawthorne Ave, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861954240.
Physician's Profile
| Full Name | Dr Samuel Ethan Marthinsen |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 350 Hawthorne Ave, Oakland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861954240
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 04/09/2024
Medical Identifiers
Medical identifiers for Dr Samuel Ethan Marthinsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861954240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 008509 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 171000000X | Military Health Care Provider | 008509 (Arizona) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
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. Dr Samuel Ethan Marthinsen 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 |
|---|
Dr Samuel Ethan Marthinsen, DO
350 Hawthorne Ave,
Oakland, CA 94609-3108
Ph: (510) 869-8751 | Dr Samuel Ethan Marthinsen, DO
350 Hawthorne Ave,
Oakland, CA 94609-3108
Ph: (510) 869-8751 |
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