Dr Stuart Martin, MD | |
2375 Professional Heights Dr, Suite 210, Lexington, KY 40503-3040 | |
(859) 317-9159 | |
(859) 309-0277 |
Full Name | Dr Stuart Martin |
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Gender | Male |
Speciality | Internal Medicine - Addiction Medicine |
Location | 2375 Professional Heights Dr, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093707564 | NPI | - | NPPES |
64214273 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 21427 (Kentucky) | Secondary |
207RA0401X | Internal Medicine - Addiction Medicine | 21427 (Kentucky) | Primary |
Entity Name | Ethan Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962851584 PECOS PAC ID: 4183910474 Enrollment ID: O20160913001887 |
Mailing Address | Practice Location Address |
---|---|
Dr Stuart Martin, MD 4 Waters Edge Pl, Lexington, KY 40502-2612 Ph: (859) 266-5604 | Dr Stuart Martin, MD 2375 Professional Heights Dr, Suite 210, Lexington, KY 40503-3040 Ph: (859) 317-9159 |
Mr. Fabrizio Canepa Escaro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Uk Division Of Hospital Medicine 800 Rose, Lexington, KY 40536 Phone: 859-323-6047 Fax: 859-257-3873 | |
Dr. Moneera Nur Haque, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 E Maxwell St Ste 200, Lexington, KY 40508 Phone: 859-323-3231 Fax: 859-257-9461 | |
Deepali Pandey, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 Rose St # Cc-402, Lexington, KY 40536 Phone: 650-804-3111 | |
Dr. Dorothy Mccord Maes, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Limestone, Lexington, KY 40536 Phone: 859-323-9057 Fax: 859-323-9502 | |
Omar Osman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-1691 Fax: 859-323-1700 | |
Dr. Stephen M Mooney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Nicholasville Rd Ste 304, Lexington, KY 40503 Phone: 859-277-5771 Fax: 859-276-4622 | |
Michael Han Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5544 Fax: 859-257-9286 |