Martha L Coventry, is a
Nurse Practitioner - Family based in Sister Bay, Wisconsin. Martha L Coventry is licensed to practice in Wisconsin (license number 3069) and her current practice location is
10539 Applewood Road, Sister Bay, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 854-4154.
NPI number for Martha L Coventry is 1992839641 and her current mailing address is Po Box 104, Ellison Bay, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992839641.
Provider's Profile
| Full Name | Martha L Coventry |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 10539 Applewood Road, Sister Bay, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992839641
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 12/15/2010
Medical Identifiers
Medical identifiers for Martha L Coventry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992839641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 3069 (Wisconsin) | 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 L Coventry 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 |
|---|
Martha L Coventry,
Po Box 104,
Ellison Bay, WI 54210-0104
Ph: (920) 493-5356 | Martha L Coventry,
10539 Applewood Road,
Sister Bay, WI 54234
Ph: (920) 854-4154 |
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