| Brandon Keith Martinez, MD | |
|
14300 E 138th, Fishers, IN 46037-0050 | |
| (877) 362-2778 | |
| Not Available |
| Full Name | Brandon Keith Martinez |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 22 Years |
| Location | 14300 E 138th, Fishers, Indiana |
| 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 |
|---|---|---|---|
| 1023271947 | NPI | - | NPPES |
| 201022130 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 125-052175 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 01069198A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Inc | Terre haute, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of Indiana Llc | 7517870009 | 73 |
| Entity Name | Urology Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487680518 PECOS PAC ID: 7517870009 Enrollment ID: O20031111000154 |
| Entity Name | Radiology Of Indiana P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992723829 PECOS PAC ID: 0648161430 Enrollment ID: O20040322001389 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052 |
| Entity Name | Comprehensive Pain And Spine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497426050 PECOS PAC ID: 1951799212 Enrollment ID: O20211019003171 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Keith Martinez, MD 679 E County Line Rd, Greenwood, IN 46143-1049 Ph: () - | Brandon Keith Martinez, MD 14300 E 138th, Fishers, IN 46037-0050 Ph: (877) 362-2778 |
Todd M Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13000 E 136th St, Fishers, IN 46037 Phone: 317-678-1700 | |
Marianna Zagurovskaya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 13000 E 136th St, Fishers, IN 46037 Phone: 317-948-9174 |