| Deirdra V Martin, CRNP | |
|
300 S. Twining Street, Bldg 760, Maxwell Afb, AL 36112-6219 | |
| (334) 953-5200 | |
| (334) 953-8607 |
| Full Name | Deirdra V Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 300 S. Twining Street, Bldg 760, Maxwell Afb, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356933360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-149010 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Hospital & Clinic Inc | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sage Health Alabama Llc | 9537521182 | 9 |
| Entity Name | American Family Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | The Center for Pain of Montgomery LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588710289 PECOS PAC ID: 3678473972 Enrollment ID: O20040112000399 |
| Entity Name | Sage Health Alabama LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063123602 PECOS PAC ID: 9537521182 Enrollment ID: O20230814001265 |
| Mailing Address | Practice Location Address |
|---|---|
| Deirdra V Martin, CRNP 300 South Twining Street, Bldg 760, Maxwell Afb, AL 36112-6219 Ph: (334) 953-5200 | Deirdra V Martin, CRNP 300 S. Twining Street, Bldg 760, Maxwell Afb, AL 36112-6219 Ph: (334) 953-5200 |
Malia Silva Thomas, CRNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 |
Francetta D. Childers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St, Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-2359 Fax: 334-953-8607 |
Lee Ann Alexander, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St, Maxwell Afb, AL 36112 Phone: 334-953-7294 |
Dr. Lori Dawn Carver, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 |
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 707-423-7927 |
Mrs. Joanna Mae Hunt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 |
Mrs. Sheila Denise Brooks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 |