Tabatha Sue Martin, LPN is a
Licensed Vocational Nurse based in Maxwelton, West Virginia. Tabatha Sue Martin is licensed to practice in West Virginia (license number 32488) and her current practice location is
804 Industrial Park Rd, Maxwelton, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 497-0500.
NPI number for Tabatha Sue Martin is 1407622608 and her current mailing address is 804 Industrial Park Rd, Maxwelton, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407622608.
Provider's Profile
Full Name | Tabatha Sue Martin |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 804 Industrial Park Rd, Maxwelton, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407622608
- Provider Enumeration Date: 11/29/2023
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Tabatha Sue Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407622608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 32488 (West Virginia) | 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. Tabatha Sue 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 |
Tabatha Sue Martin, LPN 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 | Tabatha Sue Martin, LPN 804 Industrial Park Rd, Maxwelton, WV 24957-8066 Ph: (304) 497-0500 |
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