| Corey Martin, | |
|
11330 Olive Blvd Ste 150, Creve Coeur, MO 63141-7149 | |
| (314) 336-2566 | |
| Not Available |
| Full Name | Corey Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 11330 Olive Blvd Ste 150, Creve Coeur, Missouri |
| 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 |
|---|---|---|---|
| 1023861192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2024011272 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Missouri Llc | 8527417229 | 7 |
| Entity Name | Ortho Missouri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447941067 PECOS PAC ID: 8527417229 Enrollment ID: O20231206002746 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Martin, 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141-7149 Ph: (314) 766-2310 | Corey Martin, 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141-7149 Ph: (314) 336-2566 |
Sarah E Reifsteck, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd Ste 100, Creve Coeur, MO 63141 Phone: 314-991-4368 Fax: 314-991-4369 |
Mercedes Vomund, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 Phone: 314-991-2013 Fax: 314-991-2006 |
Mrs. Samantha Yates Nuckols, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-428-9543 Fax: 314-428-9542 |
Kemin Chen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-428-9543 Fax: 314-428-9542 |
Ms. Amie C Chang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11525 Olde Cabin Rd, Creve Coeur, MO 63141 Phone: 314-997-0554 Fax: 314-997-5086 |
Ms. Geraldine Prophete, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-428-9543 Fax: 314-428-9542 |
Robert Francis Kelly, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141 Phone: 314-325-3068 |