Dr Symone Leslie Martin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. Her current practice location is
7800 W Outer Dr, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 543-6200.
Dr Symone Leslie Martin is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063091023.
Physician's Profile
Full Name | Dr Symone Leslie Martin |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 7800 W Outer Dr, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063091023
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719383769
- Enrollment ID: I20210831001728
Medical Identifiers
Medical identifiers for Dr Symone Leslie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063091023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4351048207 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | 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 Symone Leslie Martin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Symone Leslie Martin, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 874-5378 | Dr Symone Leslie Martin, MD 7800 W Outer Dr, Detroit, MI 48235-3296 Ph: (313) 543-6200 |
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