Mr Jacob Albert Martinez, MA, CCC-SLP | |
4441 E Lohman Ave, Las Cruces, NM 88011-8267 | |
(575) 202-2713 | |
Not Available |
Full Name | Mr Jacob Albert Martinez |
---|---|
Gender | Male |
Speciality | Qualified Speech Language Pathologist |
Experience | 15 Years |
Location | 4441 E Lohman Ave, Las Cruces, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366742074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4714 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner -- University Medical Group | 7719899871 | 817 |
University Of Arizona | 8123290392 | 11 |
Provider Name | Banner -- University Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Provider Name | University Of Arizona |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053509679 PECOS PAC ID: 8123290392 Enrollment ID: O20111012000218 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacob Albert Martinez, MA, CCC-SLP 2020 San Patricio Loop, Las Cruces, NM 88011-4203 Ph: (575) 202-2713 | Mr Jacob Albert Martinez, MA, CCC-SLP 4441 E Lohman Ave, Las Cruces, NM 88011-8267 Ph: (575) 202-2713 |
Ms. Anna Maria Benitez Lebron, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Suite B, Las Cruces, NM 88005 Phone: 575-526-6682 Fax: 575-523-7254 | |
Lisseth Carolina Sosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 249, Las Cruces, NM 88001 Phone: 575-527-5884 Fax: 575-527-5886 | |
Carolina Herrera, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Las Cruces, NM 88005 Phone: 505-523-7243 Fax: 505-523-7254 | |
Ms. Elaine L Detrujillo, MA., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Lissi Wandemburg Overcast, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1681 Hickory Loop, Las Cruces, NM 88005 Phone: 575-647-3773 Fax: 575-647-3777 | |
Allison Norris, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1681 Hickory Loop, Las Cruces, NM 88005 Phone: 575-647-3773 Fax: 575-647-3777 | |
Ms. Carol Spencer Lobato, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 |