Ms Michelle Renee Martin, PNP | |
1032 Crosswinds Ct, Wentzville, MO 63385-4836 | |
(844) 853-8937 | |
Not Available |
Full Name | Ms Michelle Renee Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1032 Crosswinds Ct, Wentzville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679521520 | NPI | - | NPPES |
428968507 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 131957 (Missouri) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 2019012307 (Missouri) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle Renee Martin, PNP Po Box 505402, Saint Louis, MO 63150-5402 Ph: (314) 454-5500 | Ms Michelle Renee Martin, PNP 1032 Crosswinds Ct, Wentzville, MO 63385-4836 Ph: (844) 853-8937 |
Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
Sally Ann Breen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-856-5362 | |
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200 | |
Eileen Royal, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667 | |
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200 | |
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022 | |
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 |