| 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 - Acute Care | 
| Location | 1201 Grant Blvd, St Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417670449 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN252454 (Georgia) | Primary | 
| 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: Medicare Enrolled 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  |