| Laurel Martin, NP | |
|
6784 Highway 411, Benton, TN 37307-4818 | |
| (423) 338-8995 | |
| Not Available |
| Full Name | Laurel Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6784 Highway 411, Benton, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205467339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26923 (Tennessee) | Primary |
| Entity Name | Kaful Double Portion Family Practice, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386049476 PECOS PAC ID: 7416273735 Enrollment ID: O20150304001610 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Martin, NP 6784 Highway 411, Benton, TN 37307-4818 Ph: (423) 338-8995 | Laurel Martin, NP 6784 Highway 411, Benton, TN 37307-4818 Ph: (423) 338-8995 |
Tonya Morgan, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-255-7933 Fax: 423-338-8996 | |
Denise Renee Mccluskey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 Fax: 423-338-2833 | |
Benjamin Geyman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 | |
Roksolana Odinets, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-8995 | |
Pamela P Jones-singleton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 Fax: 423-338-2833 | |
Cathy Smith Phillips, AANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 |