| Mary Sue Martin, MD | |
|
6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | |
| (352) 795-6560 | |
| Not Available |
| Full Name | Mary Sue Martin |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 6201 N Suncoast Blvd, Crystal River, Florida |
| 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 |
|---|---|---|---|
| 1245264829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 41007 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | ME100482 (Florida) | Primary |
| 207Q00000X | Family Medicine | 056137 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health Seven Rivers | Crystal river, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Sue Martin, MD 4477 W Sandy Hill St, Lecanto, FL 34461-8759 Ph: (352) 527-1475 | Mary Sue Martin, MD 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 Ph: (352) 795-6560 |
Dr. Edwin A Moore, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 800-424-3672 Fax: 954-377-3042 | |
Susana Wolmarans, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-576-5600 | |
Michael Maynor, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Seven Rivers Regional Medical Center, 6201 N.suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 Fax: 352-795-8369 | |
Shikerria Green, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 | |
Dr. Maryanne L Kolar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 |