| Maria Ravkatovna Martin, | |
|
1201 Grant Blvd, St Louis, MO 63104 | |
| (314) 257-8000 | |
| Not Available |
| Full Name | Maria Ravkatovna Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1201 Grant Blvd, St Louis, Missouri |
| 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 |
|---|---|---|---|
| 1417670449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN252454 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Slh Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Ravkatovna Martin, 539 N. Westorer Blvd, Ap 4101, Albany, GA 31707 Ph: (229) 854-4670 | Maria Ravkatovna Martin, 1201 Grant Blvd, St Louis, MO 63104 Ph: (314) 257-8000 |
Mrs. Cathy Hinton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4291 Parkview Place, St Louis, MO 63110 Phone: 314-454-8134 | |
Mrs. Mary H Brice, RN BC ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3023 N Ballas Rd, Suite 500d Rheumatology & Internal Med Assoc Of West Co, St Louis, MO 63131 Phone: 314-567-4541 Fax: 314-569-3647 | |
Ms. Shelly Ann Campbell, RN, ACNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: #1 Barnes Jewish, St Louis, MO 63110 Phone: 314-362-6620 Fax: 314-362-6660 | |
Cody Marie Eckelkamp, FNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Road, St Louis, MO 63141 Phone: 636-667-3425 | |
Ms. Kathleen M Spranaitis, RN SC PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand, St Louis, MO 63104 Phone: 314-577-5647 Fax: 314-268-2775 | |
Mrs. Linda K Mccloud, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11125 Dunn Rd, Suite 304, St Louis, MO 63136 Phone: 314-355-1166 Fax: 314-355-9179 | |
Ms. Chloe Suzanne Datillo, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2865 Netherton Dr., St Louis, MO 63136 Phone: 314-653-1600 Fax: 314-355-5716 |