| Clint Lee Martineau, PMHNP | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 96504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Clint Lee Martineau |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| 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 |
|---|---|---|---|
| 1821565839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 69898827-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 104 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Lee Martineau, PMHNP Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Clint Lee Martineau, PMHNP Corner Of Route N12 And N7, Fort Defiance, AZ 96504 Ph: (928) 729-8000 |
Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775 | |
Jay S Guikema, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Connie M Ebach, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Stacy-ann Shand, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Kathryn Barron, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821 |