Breanne Marie Martin, is a
Physician Assistant based in Maryland Heights, Missouri. Breanne Marie Martin is licensed to practice in * (Not Available) (license number ) and her current practice location is
2266 Westglen Park Dr, Maryland Heights, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 487-7589.
NPI number for Breanne Marie Martin is 1649058058 and her current mailing address is 2266 Westglen Park Dr, Maryland Heights, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649058058.
Provider's Profile
Full Name | Breanne Marie Martin |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2266 Westglen Park Dr, Maryland Heights, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649058058
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Breanne Marie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649058058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Breanne Marie 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 |
Breanne Marie Martin, 2266 Westglen Park Dr, Maryland Heights, MO 63043-4014 Ph: () - | Breanne Marie Martin, 2266 Westglen Park Dr, Maryland Heights, MO 63043-4014 Ph: (636) 487-7589 |
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