| Alan P Martin, PA-C | |
|
100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | |
| (706) 858-2000 | |
| (865) 291-3228 |
| Full Name | Alan P Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 100 Gross Crescent Cir, Fort Oglethorpe, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023049509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003258 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 737 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20171114002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan P Martin, PA-C Po Box 634909, Cincinnati, OH 45263-4909 Ph: Not Available | Alan P Martin, PA-C 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 Ph: (706) 858-2000 |
Jay Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-841-7274 |
Shelia Keresa Childers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2161 Fax: 865-560-7387 |
Amber Nikole Freeman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26 Parkway Dr, Fort Oglethorpe, GA 30742 Phone: 067-956-2846 Fax: 706-956-2850 |