| Kathleen J Martin, MD | |
|
1464 Jefferson St N, Lewisburg, WV 24901-1380 | |
| (304) 645-3220 | |
| (844) 479-4545 |
| Full Name | Kathleen J Martin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1464 Jefferson St N, Lewisburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437271541 | NPI | - | NPPES |
| 3810012282 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 23002 (West Virginia) | Primary |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871539296 PECOS PAC ID: 0941113427 Enrollment ID: O20031111000104 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013496991 PECOS PAC ID: 0941113427 Enrollment ID: O20210913003075 |
| Entity Name | West Virginia School Of Osteopathic Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093220303 PECOS PAC ID: 0941113427 Enrollment ID: O20210914002817 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J Martin, MD 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (304) 645-3220 | Kathleen J Martin, MD 1464 Jefferson St N, Lewisburg, WV 24901-1380 Ph: (304) 645-3220 |
Aaron Michael Mcguffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Dr. Jennifer Anne Bailey, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Hilary Hamric, Pediatrics Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Helen Marr Mitchell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson Street, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Maple T. Landvoigt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 |