| Haley Martin, | |
|
3440 E La Palma Ave, Anaheim, CA 92806-2020 | |
| (317) 644-9054 | |
| Not Available |
| Full Name | Haley Martin |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 3440 E La Palma Ave, Anaheim, California |
| 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 |
|---|---|---|---|
| 1013394501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 763915 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000415 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Martin, 120 35th St, Hermosa Beach, CA 90254-2020 Ph: (317) 744-9054 | Haley Martin, 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (317) 644-9054 |
Laura Koh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 |
Carol J Wesner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |
Carol A Dilibero, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-279-4487 |
Edward H Marthaler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |
Susan M Heravi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |
Tracy L Ouzounian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |
Mrs. Susan Elizabeth Yudt, CRNA, MSN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 728 S Olive St, Anaheim, CA 92805 Phone: 808-927-3804 |