Angelia D Martin, is a
Licensed Practical Nurse based in Madisonville, Tennessee. Angelia D Martin is licensed to practice in Tennessee (license number 65332) and her current practice location is
520 Cook St, Suite I, Madisonville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 374-7100.
NPI number for Angelia D Martin is 1093992109 and her current mailing address is 6800 Baum Dr, Building 1, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093992109.
Provider's Profile
| Full Name | Angelia D Martin |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 520 Cook St, Madisonville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093992109
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 01/31/2008
Medical Identifiers
Medical identifiers for Angelia D Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093992109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 65332 (Tennessee) | Primary |
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. Angelia D Martin 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 |
|---|
Angelia D Martin,
6800 Baum Dr, Building 1,
Knoxville, TN 37919-7315
Ph: () - | Angelia D Martin,
520 Cook St, Suite I,
Madisonville, TN 37354-1508
Ph: (865) 374-7100 |
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