Antoinette Marie Martin, TCADC is a
Case Manager/care Coordinator based in Louisville, Kentucky. Antoinette Marie Martin is licensed to practice in Kentucky (license number ) and her current practice location is
1211 W Broadway, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 975-9412.
NPI number for Antoinette Marie Martin is 1053008169 and her current mailing address is 4621 Outer Loop Ste 175, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053008169.
Healthcare Provider's Profile
| Full Name | Antoinette Marie Martin |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1211 W Broadway, Louisville, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053008169
- Provider Enumeration Date: 04/19/2023
- Last Update Date: 11/06/2025
Medical Identifiers
Medical identifiers for Antoinette Marie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053008169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 282757 (Kentucky) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Kentucky) | 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. Antoinette Marie 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 |
Antoinette Marie Martin, TCADC 4621 Outer Loop Ste 175, Louisville, KY 40219-3970 Ph: (502) 431-3073 | Antoinette Marie Martin, TCADC 1211 W Broadway, Louisville, KY 40203-2082 Ph: (502) 975-9412 |
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