Dr Jack F Martinez, PSYD is a
Psychologist - Clinical based in Vandenberg Sfb, Lompoc, California. Dr Jack F Martinez is licensed to practice in Maine (license number PS1043) and his current practice location is
338 South Dakota Ave, Vandenberg Sfb, Lompoc, California. He can be reached at his office (for appointments etc.) via phone at
(805) 606-8217.
NPI number for Dr Jack F Martinez is 1679782767 and his current mailing address is 338 S Dakota Ave, Vandenberg Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679782767.
Healthcare Provider's Profile
| Full Name | Dr Jack F Martinez |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 338 South Dakota Ave, Vandenberg Sfb, Lompoc, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679782767
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Dr Jack F Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679782767 | NPI | - | NPPES |
| 323090099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PS1043 (Maine) | 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. Dr Jack F 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 |
|---|
Dr Jack F Martinez, PSYD
338 S Dakota Ave,
Vandenberg Afb, CA 93437-6307
Ph: () - | Dr Jack F Martinez, PSYD
338 South Dakota Ave,
Vandenberg Sfb, Lompoc, CA 93437-6307
Ph: (805) 606-8217 |
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