Marie B Martin, PA C is a
Physician Assistant based in Medicine Bow, Wyoming. Marie B Martin is licensed to practice in Wyoming (license number 169) and her current practice location is
514 Idaho Drive, Medicine Bow, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 379-2222.
NPI number for Marie B Martin is 1790705515 and her current mailing address is Po Box 124, Medicine Bow, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790705515.
Provider's Profile
| Full Name | Marie B Martin |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 514 Idaho Drive, Medicine Bow, Wyoming |
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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: 1790705515
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Marie B Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790705515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 169 (Wyoming) | 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. Marie B 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 |
|---|
Marie B Martin, PA C
Po Box 124,
Medicine Bow, WY 82329-0124
Ph: (307) 378-2543 | Marie B Martin, PA C
514 Idaho Drive,
Medicine Bow, WY 82329-0037
Ph: (307) 379-2222 |
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