| Fitz Martin, | |
|
1055 E Baltimore Pike Ste 303, Media, PA 19063-5173 | |
| (610) 892-3800 | |
| (484) 468-1412 |
| Full Name | Fitz Martin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1055 E Baltimore Pike Ste 303, Media, Pennsylvania |
| 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 |
|---|---|---|---|
| 1972142669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP021299 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Phila Community Mental Health Consortium, Inc. | 9638072580 | 8 |
| Entity Name | West Phila Community Mental Health Consortium, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757989 PECOS PAC ID: 9638072580 Enrollment ID: O20040129000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Fitz Martin, Po Box 422, Wynnewood, PA 19096-0422 Ph: (610) 674-0110 | Fitz Martin, 1055 E Baltimore Pike Ste 303, Media, PA 19063-5173 Ph: (610) 892-3800 |
Janeen A Franz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1088 W Baltimore Pike, Suite 2500, Media, PA 19063 Phone: 610-565-4107 Fax: 610-565-8349 | |
Ms. Phuong Ngo, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-3218 | |
Tanya Ann Kozuch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E State St Ste 205, Media, PA 19063 Phone: 610-521-2053 | |
Kaela Mclaughlin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-9400 | |
Maureen Lubas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3101, Media, PA 19063 Phone: 610-891-9277 | |
Carol L Tanzio, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 176 S New Middletown Rd, Mob, 1st Floor, Media, PA 19063 Phone: 610-627-3690 Fax: 610-627-3684 | |
Mrs. Ellah C. Nota, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Glen Riddle Rd, Media, PA 19063 Phone: 610-410-9933 Fax: 360-291-7711 |