| Theresa Martin, MD | |
|
3669 Countryside Ln, Marion, NY 14505 | |
| (315) 926-7733 | |
| (315) 926-0731 |
| Full Name | Theresa Martin |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 3669 Countryside Ln, Marion, New York |
| 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 |
|---|---|---|---|
| 1497133342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 295038 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifetime Care Chha | Rochester, NY | Home health agency |
| Strong Memorial Hospital | Rochester, NY | Hospital |
| F F Thompson Hospital | Canandaigua, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Strong Medical Group | 6608850987 | 28 |
| Entity Name | Strong Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184664948 PECOS PAC ID: 6608850987 Enrollment ID: O20040615000722 |
| Entity Name | University Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20130619000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Martin, MD Po Box 110, Marion, NY 14505-0110 Ph: (315) 926-7733 | Theresa Martin, MD 3669 Countryside Ln, Marion, NY 14505 Ph: (315) 926-7733 |
David Thomas Hannan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3669 Countryside Ln, Marion, NY 14505 Phone: 315-926-7733 Fax: 315-926-0731 | |
Mrs. Laura Ann Moore, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3669 Countryside Ln, Marion, NY 14505 Phone: 315-926-7733 Fax: 315-926-0731 |