| Dr Dianne Martin, MD | |
|
5670 Caito Dr, Suite #125 Building # 5, Indpls, IN 46226-1364 | |
| (317) 541-9159 | |
| (317) 541-9179 |
| Full Name | Dr Dianne Martin |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 47 Years |
| Location | 5670 Caito Dr, Indpls, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215030366 | NPI | - | NPPES |
| 100235680 | Medicaid | IN | |
| I010268 | Other | TRICARE | |
| 10023568019 | Medicaid | IN | |
| 000000079659 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01029502 (Indiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01029502A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph Hospital And Health Center, Inc. | 1153318720 | 15 |
| Entity Name | Community Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554 |
| Entity Name | St. Joseph Hospital & Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780625442 PECOS PAC ID: 1153318720 Enrollment ID: O20040427000228 |
| Entity Name | Dianne Martin Md Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891933032 PECOS PAC ID: 7517024664 Enrollment ID: O20090318000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dianne Martin, MD 5670 Caito Dr, Suite #125 Building # 5, Indpls, IN 46226-1364 Ph: (317) 541-9159 | Dr Dianne Martin, MD 5670 Caito Dr, Suite #125 Building # 5, Indpls, IN 46226-1364 Ph: (317) 541-9159 |
Andrew Morrison, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8320 Madison Ave, Indpls, IN 46227 Phone: 317-882-5122 Fax: 317-888-8642 |