Dr Shelly Dawn Martin, MD | |
800 Pennsylvania Ave, Charleston, WV 25302-3351 | |
(304) 388-2381 | |
(304) 388-2640 |
Full Name | Dr Shelly Dawn Martin |
---|---|
Gender | Female |
Speciality | Pediatrics - Child Abuse Pediatrics |
Location | 800 Pennsylvania Ave, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871555029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | P0090 (Texas) | Secondary |
2080C0008X | Pediatrics - Child Abuse Pediatrics | 29866 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Camden-clark Physician Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
Mailing Address | Practice Location Address |
---|---|
Dr Shelly Dawn Martin, MD 800 Pennsylvania Ave, Charleston, WV 25302-3351 Ph: (304) 388-2381 | Dr Shelly Dawn Martin, MD 800 Pennsylvania Ave, Charleston, WV 25302-3351 Ph: (304) 388-2381 |
Dr. John M Eckerd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 Phone: 304-388-1552 Fax: 304-388-1577 | |
Jennifer Anne Hines, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Florida St, Charleston, WV 25302 Phone: 304-414-4015 Fax: 304-414-4018 | |
Jane Elizabeth Nicholas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-414-1880 Fax: 304-414-1886 | |
Afif S Habash, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-442-8117 | |
Mrs. Mary C Pozega, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-7001 Fax: 304-925-7234 | |
Youmna Mousattat, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2525 | |
Dr. Stefan Randolph Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302 Phone: 304-388-2238 Fax: 304-388-2243 |