| Brandon Michael Martin, CRNA | |
|
10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 | |
| (828) 327-8105 | |
| (828) 327-4245 |
| Full Name | Brandon Michael Martin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 10 3rd Ave Ne Ste 200, Hickory, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497341184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11029348 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 131059 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 156 |
| Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 359 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Michael Martin, CRNA 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 Ph: (828) 327-8105 | Brandon Michael Martin, CRNA 10 3rd Ave Ne Ste 200, Hickory, NC 28601-5044 Ph: (828) 327-8105 |
Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673 | |
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371 | |
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 | |
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245 |