Mr Clinton Richard Martin, PA in Lake Havasu City, AZ

Mr Clinton Richard Martin, PA is a medicare enrolled "Physician Assistant" in Lake Havasu City, Arizona. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice W Milyani Md Pllc and his current practice location is 1951 Mesquite Ave Ste F, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 963-9333.

Mr Clinton Richard Martin is licensed to practice in Arizona (license number 5486) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013228394.

Contact Information

	Mr Clinton Richard Martin, PA
	1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403-5746
	(928) 963-9333
	(928) 361-2611

Map and Direction

Provider's Profile

Full Name	Mr Clinton Richard Martin
Gender	Male
Speciality	Physician Assistant
Experience	15 Years
Location	1951 Mesquite Ave Ste F, Lake Havasu City, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Clinton Richard Martin graduated from nursing school in 2009

NPI Data:

NPI Number: 1013228394
Provider Enumeration Date: 07/01/2010
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2365608098
Enrollment ID: I20140210001648

Medical Identifiers

Medical identifiers for Mr Clinton Richard Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013228394	NPI	-	NPPES
1013228394	Medicaid	NV
1366544124	Medicaid	NV
137949	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5486 (Arizona)	Primary
363A00000X	Physician Assistant	PA1351 (Nevada)	Secondary
363A00000X	Physician Assistant	PA12064 (Texas)	Secondary
363A00000X	Physician Assistant	PA0270 (Nevada)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
W Milyani Md Pllc	9133502008	4

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. Mr Clinton Richard Martin 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
Mr Clinton Richard Martin, PA 9101 W Sahara Ave # 105-51, Las Vegas, NV 89117-5772 Ph: (702) 254-1425	Mr Clinton Richard Martin, PA 1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403-5746 Ph: (928) 963-9333

Reviews and Comments

Physician Assistant Nurses in Lake Havasu City, AZ

Janet Marie Marinelli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403 Phone: 602-955-1000 Fax: 602-508-4830
Margaret B Holmes, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403 Phone: 925-854-3333 Fax: 928-854-3335
Mr. Matthew Preston Rainbolt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3619 Desert Rose Ln, Lake Havasu City, AZ 86404 Phone: 337-349-6708
Ms. Gayle Ann Clausen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1830 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403 Phone: 928-855-8071 Fax: 928-855-6869
Paul Queior, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
George Macey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3868 Mission Dr N, Lake Havasu City, AZ 86406 Phone: 928-453-8650

Mr Clinton Richard Martin, PA - Medicare Physician Assistant in Lake Havasu City, AZ