Martha Anne Defore, PA-C is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Serenity Urgent Care Llc and her current practice location is
1601 W Saint Marys Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 872-4901.
Martha Anne Defore is licensed to practice in Arizona (license number 3790) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518022961.
Physician's Profile
| Full Name | Martha Anne Defore |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 1601 W Saint Marys Rd, Tucson, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Martha Anne Defore graduated from medical school in 2004
NPI Data:
- NPI Number: 1518022961
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456427913
- Enrollment ID: I20120814000111
Medical Identifiers
Medical identifiers for Martha Anne Defore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518022961 | NPI | - | NPPES |
| 18506 | Other | CA | STATE LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 3790 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 3790 (Arizona) | Primary |
| 363A00000X | Physician Assistant | 18506 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Serenity Urgent Care Llc | 5597247619 | 3 |
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. Martha Anne Defore 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 |
|---|
Martha Anne Defore, PA-C
8142 E 8th St,
Tucson, AZ 85710-2422
Ph: (520) 237-9299 | Martha Anne Defore, PA-C
1601 W Saint Marys Rd,
Tucson, AZ 85745-2682
Ph: (520) 872-4901 |
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