Dr Maria R Martin, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Dimas, California. Her current practice location is
100 W Foothill Blvd Ste 104, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at
(909) 519-2662.
Dr Maria R Martin is licensed to practice in California (license number PSY27160) 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 1487796074.
Healthcare Provider's Profile
Full Name | Dr Maria R Martin |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 100 W Foothill Blvd Ste 104, San Dimas, California |
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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: 1487796074
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284944323
- Enrollment ID: I20151102002433
Medical Identifiers
Medical identifiers for Dr Maria R Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487796074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 36100 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY27160 (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. Dr Maria R 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 Maria R Martin, PHD 100 W Foothill Blvd Ste 104, San Dimas, CA 91773-1170 Ph: (909) 519-2662 | Dr Maria R Martin, PHD 100 W Foothill Blvd Ste 104, San Dimas, CA 91773-1170 Ph: (909) 519-2662 |
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