Martha Anne Defore, PA-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" in Tucson, Arizona. Her current practice location is
1601 W Saint Marys Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 872-4901.
Martha Anne Defore is licensed to practice in Arizona (license number 3790) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518022961.
Provider's Profile
Full Name | Martha Anne Defore |
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Gender | Female |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 1601 W Saint Marys Rd, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518022961
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 04/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456427913
- Enrollment ID: I20120814000111
Medical Identifiers
Medical identifiers for Martha Anne Defore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518022961 | NPI | - | NPPES |
18506 | Other | CA | STATE LICENCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 18506 (California) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 3790 (Arizona) | 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. Martha Anne Defore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martha Anne Defore, PA-C 8142 E 8th St, Tucson, AZ 85710-2422 Ph: (520) 237-9299 | Martha Anne Defore, PA-C 1601 W Saint Marys Rd, Tucson, AZ 85745-2682 Ph: (520) 872-4901 |
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