Martin Tatro, is a
Licensed Psychiatric Technician based in San Luis Obispo, California. Martin Tatro is licensed to practice in California (license number ) and his current practice location is
2178 Johnson Ave, San Luis Obispo, California. He can be reached at his office (for appointments etc.) via phone at
(805) 781-4712.
NPI number for Martin Tatro is 1184135634 and his current mailing address is 3587 Heathrow Way, Medford, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184135634.
Healthcare Provider's Profile
| Full Name | Martin Tatro |
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| Gender | Male |
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| Speciality | Licensed Psychiatric Technician |
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| Location | 2178 Johnson Ave, San Luis Obispo, 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: 1184135634
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 07/12/2019
Medical Identifiers
Medical identifiers for Martin Tatro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184135634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 167G00000X | Licensed Psychiatric Technician | (California) | 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. Martin Tatro 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 |
|---|
Martin Tatro,
3587 Heathrow Way,
Medford, OR 97504-4004
Ph: (541) 858-8170 | Martin Tatro,
2178 Johnson Ave,
San Luis Obispo, CA 93401-4535
Ph: (805) 781-4712 |
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