| Martin Lee Stewart, PA | |
|
11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602-5438 | |
| (315) 772-4025 | |
| (315) 772-9498 |
| Full Name | Martin Lee Stewart |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336220573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1071721 (NU) | Secondary |
| 363A00000X | Physician Assistant | 014890 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Immediate Care North Chicago Llc | 8729064159 | 256 |
| Pic Indiana Pc | 3476790239 | 143 |
| Wellnow Urgent Care, P.c. | 8325320864 | 395 |
| Pic Indiana Pc | 3476790239 | 143 |
| Wellnow Urgent Care, P.c. | 8325320864 | 395 |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Wellnow Urgent Care, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Lee Stewart, PA 11050 Mount Belvedere Blvd, Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 | Martin Lee Stewart, PA 11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 |
David Lewis Keyes, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Credentials, Fort Drum, NY 13602 Phone: 315-772-5508 |
Brady Simpkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 802-258-0301 |
Patrick Allen Clapp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-5516 |
Kevin Lee Larose, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |
Jeremiah C Clester, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |
Jacob Miller, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2729 |
William J. Flynn Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |