| Gina Martin, CRNP | |
|
1500 Dixon St #202, Fredericksburg, VA 22401 | |
| (540) 370-0430 | |
| (540) 370-0021 |
| Full Name | Gina Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1500 Dixon St #202, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437127917 | NPI | - | NPPES |
| 0087 | Other | DC | CAREFIRST BC OF NCA NUMBE |
| 010064741 | Medicaid | VA | |
| 040593900 | Medicaid | MD | |
| 64135601 | Other | MD | CAREFIRST BC OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0024164764 (Virginia) | Primary |
| Entity Name | Universal Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
| Entity Name | Affinity Palliative Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609455450 PECOS PAC ID: 9638572407 Enrollment ID: O20210730002718 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Martin, CRNP 1500 Dixon St #202, Fredericksburg, VA 22401 Ph: (540) 370-0430 | Gina Martin, CRNP 1500 Dixon St #202, Fredericksburg, VA 22401 Ph: (540) 370-0430 |
Lisa Lee Rice, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5004 Southpoint Pkwy, Fredericksburg, VA 22407 Phone: 888-852-1988 | |
Catherine Michelle Carpenter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Care Way Ste 200, Fredericksburg, VA 22401 Phone: 855-739-9953 | |
Dr. Bernard Nii Kpakpa Quartey, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Plank Rd Ste 100, Fredericksburg, VA 22401 Phone: 540-785-9900 | |
Henrietta Dedo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1212 Pickett Cir, Fredericksburg, VA 22401 Phone: 571-212-7593 | |
Brittney Tosick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9530 Cosner Dr Ste 200, Fredericksburg, VA 22408 Phone: 540-373-1331 | |
Deborah Risco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Mcwhirt Loop, Fredericksburg, VA 22406 Phone: 866-389-2727 | |
Rajwant Dhillon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9530 Cosner Dr Ste 200, Fredericksburg, VA 22408 Phone: 540-373-1331 |