| Deborah A Martin, CRNP | |
|
120 S Martin St, Titusville, PA 16354-1850 | |
| (814) 827-8400 | |
| (814) 827-8405 |
| Full Name | Deborah A Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 S Martin St, Titusville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346533056 | NPI | - | NPPES |
| 102622862 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP011339 (Pennsylvania) | Primary |
| Entity Name | Primary Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A Martin, CRNP 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 827-8400 | Deborah A Martin, CRNP 120 S Martin St, Titusville, PA 16354-1850 Ph: (814) 827-8400 |
Mrs. Heidi Rae Gaddess, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-0216 | |
Mckenna Jaclyn Cole, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 339 W Spring St, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-4750 | |
Brianne Wakefield, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-9770 | |
Stacy Kowalczyk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 | |
Kim M Combs, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-1852 | |
Ryan Ochalek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 |