| Mario P Martinez, NP | |
|
1115 12th Ave Rd, Nampa, ID 83686-5738 | |
| (208) 498-1080 | |
| Not Available |
| Full Name | Mario P Martinez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1115 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891904132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-817A (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Southern Idaho Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario P Martinez, NP 10482 W Carlton Bay Dr, Garden City, ID 83714-5143 Ph: (208) 955-6500 | Mario P Martinez, NP 1115 12th Ave Rd, Nampa, ID 83686-5738 Ph: (208) 498-1080 |
Taelor Nicole Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16818 N Marketplace Blvd, Nampa, ID 83687 Phone: 208-321-4000 | |
Dr. Janet Lea Gilbreath, DNP, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 W Foxglove Dr, Nampa, ID 83686 Phone: 630-854-4115 Fax: 208-288-4279 | |
Mr. Ryan Scott Harvey, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr Ste 180, Nampa, ID 83687 Phone: 208-322-1680 Fax: 208-472-5970 | |
Karen L Godard, RNC, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 3rd St S, Nampa, ID 83651 Phone: 208-475-5700 Fax: 208-475-5710 | |
Mrs. Carolyn G Barnhart, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-809-2869 Fax: 208-809-2868 | |
Nadezhda Kravchuk, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Kristin Marie Prescott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3165 E Greenhurst Rd, Nampa, ID 83686 Phone: 208-463-7330 Fax: 208-463-7331 |