Mrs Beverly Ann Martin, is a
Student In An Organized Health Care Education/training Program based in Mahanoy City, Pennsylvania. Mrs Beverly Ann Martin is licensed to practice in Pennsylvania (license number 9978794) and her current practice location is
604 W Pine St, Mahanoy City, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 773-3487.
NPI number for Mrs Beverly Ann Martin is 1376669002 and her current mailing address is 604 W Pine St, Mahanoy City, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376669002.
Provider's Profile
Full Name | Mrs Beverly Ann Martin |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 604 W Pine St, Mahanoy City, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376669002
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Beverly Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376669002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 9978794 (Pennsylvania) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 9978794 (Pennsylvania) | 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. Mrs Beverly Ann 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 |
Mrs Beverly Ann Martin, 604 W Pine St, Mahanoy City, PA 17948-2410 Ph: (570) 773-3487 | Mrs Beverly Ann Martin, 604 W Pine St, Mahanoy City, PA 17948-2410 Ph: (570) 773-3487 |
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