Sammy Martinez, 164W00000X is a
Licensed Practical Nurse based in Jblm, Washington. Sammy Martinez is licensed to practice in Texas (license number 317949) and his current practice location is
9040 Jackson Avenue, Jblm, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 968-0758.
NPI number for Sammy Martinez is 1225492960 and his current mailing address is 9040 Jackson Avenue, Madigan Army Medical Center,, Jblm, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225492960.
Provider's Profile
Full Name | Sammy Martinez |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 9040 Jackson Avenue, Jblm, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225492960
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 04/08/2016
Medical Identifiers
Medical identifiers for Sammy Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225492960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 317949 (Texas) | 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. Sammy Martinez 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 |
Sammy Martinez, 164W00000X 9040 Jackson Avenue, Madigan Army Medical Center,, Jblm, WA 98431 Ph: () - | Sammy Martinez, 164W00000X 9040 Jackson Avenue, Jblm, WA 98431 Ph: (253) 968-0758 |
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