| Dr Destiny Martin, MD | |
|
2900 Lamb Cir Ste 250, Christiansburg, VA 24073-6345 | |
| (540) 639-9071 | |
| (540) 639-0976 |
| Full Name | Dr Destiny Martin |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2900 Lamb Cir Ste 250, Christiansburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720616030 | NPI | - | NPPES |
| 764815400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101288184 (Virginia) | Primary |
| 207R00000X | Internal Medicine | D99040 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | D99040 (Maryland) | Secondary |
| Entity Name | Greater Baltimore Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
| Entity Name | Sage Health Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770294324 PECOS PAC ID: 7012368251 Enrollment ID: O20240111003307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Destiny Martin, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Dr Destiny Martin, MD 2900 Lamb Cir Ste 250, Christiansburg, VA 24073-6345 Ph: (540) 639-9071 |
Dr. Marcia A Harris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 434 Peppers Ferry Rd Nw, Christiansburg, VA 24073 Phone: 540-382-6000 | |
Dr. Leslie E Badillo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Roanoke St, Christiansburg, VA 24073 Phone: 540-381-6000 | |
Dr. Aria Behrouzi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Roanoke St, Christiansburg, VA 24073 Phone: 540-381-6000 Fax: 540-381-2989 | |
Dr. Gerard T. Hopkins Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1305 Stafford Dr, Christiansburg, VA 24073 Phone: 540-382-0156 | |
Dr. Reed R Lambert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Roanoke St, Christiansburg, VA 24073 Phone: 540-381-6000 | |
James R Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Central Ave, Christiansburg, VA 24073 Phone: 540-382-4221 Fax: 540-381-1889 | |
Mohamed Idrissi Kadiri, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Roanoke St, Christiansburg, VA 24073 Phone: 540-381-6000 Fax: 540-381-2989 |