Elissa E Martin, CNP | |
104 Diamond Drive, Anna, OH 45302 | |
(937) 394-2900 | |
(937) 394-3602 |
Full Name | Elissa E Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 104 Diamond Drive, Anna, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982654653 | NPI | - | NPPES |
2622782 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA-08452-NP (Ohio) | Primary |
Entity Name | Wilson Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170 |
Mailing Address | Practice Location Address |
---|---|
Elissa E Martin, CNP 915 West Michigan St, Sidney, OH 45365-2401 Ph: (937) 394-2900 | Elissa E Martin, CNP 104 Diamond Drive, Anna, OH 45302 Ph: (937) 394-2900 |
Ms. Erica Lynn Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Diamond Dr, Anna, OH 45302 Phone: 937-394-2900 Fax: 937-498-5483 | |
Danielle Eileen Timple, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9195 State Route 119 W, Anna, OH 45302 Phone: 937-557-5657 Fax: 513-230-2024 | |
Mrs. Kimberly M Shroyer, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Christie Ave, Anna, OH 45302 Phone: 937-489-3748 |