Ms Michelle M Martin, FNP | |
975 S Fairmont Ave, Lodi, CA 95240-5118 | |
(209) 339-7575 | |
Not Available |
Full Name | Ms Michelle M Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 975 S Fairmont Ave, Lodi, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639237670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 166622 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ms Michelle M Martin, FNP 3916 State St, Suite 300, Santa Barbara, CA 93105-5602 Ph: (805) 563-3010 | Ms Michelle M Martin, FNP 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 339-7575 |
Donna Marlane Bennett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 845 S Fairmont Ave, #8, Lodi, CA 95240 Phone: 209-339-7633 | |
Mrs. Kristina Fortes, FNP, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 | |
Ms. Isabel S. Romena, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 S Fairmont Ave, Lodi, CA 95240 Phone: 209-365-9331 | |
Shizu Jennifer Kawai, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 Fax: 209-370-1737 | |
Mrs. Rosemary Ann Brixie, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Tasnim Masood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-2500 | |
Ms. Rena Yvonne Kiraly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Fairmont Ave Ste A, Lodi, CA 95240 Phone: 209-333-2500 Fax: 209-333-3377 |