| Avery Nicholas Martin, DC | |
|
22790 Buchanan Street, Mount Vernon, WA 98273 | |
| (360) 856-5562 | |
| (360) 856-4923 |
| Full Name | Avery Nicholas Martin |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 27 Years |
| Location | 22790 Buchanan Street, Mount Vernon, Washington |
| 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 |
|---|---|---|---|
| 1215085956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 33847 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Country Chiropractic Clinic Pllc | 6709969447 | 2 |
| Provider Name | Country Chiropractic Clinic PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184757981 PECOS PAC ID: 6709969447 Enrollment ID: O20080219000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Nicholas Martin, DC Po Box 508, Clearlake, WA 98235-0508 Ph: (360) 856-5562 | Avery Nicholas Martin, DC 22790 Buchanan Street, Mount Vernon, WA 98273 Ph: (360) 856-5562 |
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