| Colby Martin, PA | |
|
115 Golf Course Rd Ste E, Logan, UT 84321-5934 | |
| (435) 999-4059 | |
| (435) 213-2800 |
| Full Name | Colby Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 115 Golf Course Rd Ste E, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982033098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8829050-1206 (Utah) | Primary |
| Entity Name | Martin Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467081448 PECOS PAC ID: 4284099177 Enrollment ID: O20230427002834 |
| Mailing Address | Practice Location Address |
|---|---|
| Colby Martin, PA 115 Golf Course Rd Ste E, Logan, UT 84321-5934 Ph: (435) 999-4059 | Colby Martin, PA 115 Golf Course Rd Ste E, Logan, UT 84321-5934 Ph: (435) 999-4059 |
Adrienne Mcmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2380 N 400 E Ste B, Logan, UT 84341 Phone: 435-752-5741 |
Mr. Tyson Anderson Cluff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 |
Madison Rae Groberg, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Golf Course Rd Ste E, Logan, UT 84321 Phone: 435-999-4059 |
Thomas W Price, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E 1400 N, Logan, UT 84341 Phone: 435-716-5478 |
Jackson Cheal, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St Ste 110, Logan, UT 84321 Phone: 435-565-6043 Fax: 435-220-2030 |
Benjamin Seale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-2800 |
Kelsey Thorne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E Ste 201, Logan, UT 84341 Phone: 435-787-7001 Fax: 801-216-8357 |