Deborah A Martin, CRNP | |
120 S Martin St, Titusville, PA 16354-1850 | |
(814) 827-8400 | |
(814) 827-8405 |
Full Name | Deborah A Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 120 S Martin St, Titusville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346533056 | NPI | - | NPPES |
102622862 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP011339 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Deborah A Martin, CRNP 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 827-8400 | Deborah A Martin, CRNP 120 S Martin St, Titusville, PA 16354-1850 Ph: (814) 827-8400 |
Mrs. Heidi Rae Gaddess, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-0216 | |
Brianne Wakefield, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-9770 | |
Stacy Kowalczyk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 | |
Kim M Combs, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-1852 | |
Ryan Ochalek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 | |
Mrs. Karen S Sampson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-9770 Fax: 814-827-3556 |