Michelle Martin, | |
120 Professional Pl, Bridgeport, WV 26330-4599 | |
(304) 476-6024 | |
Not Available |
Full Name | Michelle Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 120 Professional Pl, Bridgeport, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750017604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 113712 (West Virginia) | Secondary |
363L00000X | Nurse Practitioner | 113712 (West Virginia) | Primary |
Entity Name | Gr&w Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
Mailing Address | Practice Location Address |
---|---|
Michelle Martin, 120 Professional Pl, Bridgeport, WV 26330-4599 Ph: (304) 476-6024 | Michelle Martin, 120 Professional Pl, Bridgeport, WV 26330-4599 Ph: (304) 476-6024 |
Jessica Lynn Carder, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Miss Amber Kayla Cochran, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Michelle L Hasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 Fax: 681-342-3507 | |
Erin Colleen Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330 Phone: 304-624-7200 Fax: 304-423-5208 | |
Jennifer Michelle Fittro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-203-3967 | |
Sarah A Layman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 Phone: 304-842-3993 | |
Heaven Mcgee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr Ste 200, Bridgeport, WV 26330 Phone: 304-624-7200 |