| Maximino Martell, APRN, CCNS, RN, MSN | |
|
80 Gardenia Dr, Covington, LA 70433-9194 | |
| (985) 871-5900 | |
| Not Available |
| Full Name | Maximino Martell |
|---|---|
| Gender | Male |
| Speciality | Clinical Nurse Specialist - Critical Care Medicine |
| Location | 80 Gardenia Dr, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598049785 | NPI | - | NPPES |
| 2330314 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SC0200X | Clinical Nurse Specialist - Critical Care Medicine | AP07268 (Louisiana) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275539363 PECOS PAC ID: 0749273761 Enrollment ID: O20040406000728 |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003 |
| Entity Name | Integrated Medical Services Cov Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568743375 PECOS PAC ID: 3870769805 Enrollment ID: O20111222000126 |
| Entity Name | Integrated Medical Services Ham Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619242575 PECOS PAC ID: 6204072275 Enrollment ID: O20130417000391 |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Maximino Martell, APRN, CCNS, RN, MSN Po Box 54482, New Orleans, LA 70154-4482 Ph: (985) 871-5900 | Maximino Martell, APRN, CCNS, RN, MSN 80 Gardenia Dr, Covington, LA 70433-9194 Ph: (985) 871-5900 |
Mrs. Jennifer Laviolette Vitellaro, NNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-4360 | |
Caron Slusser, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 208 Highland Park Plz, Suite 208, Covington, LA 70433 Phone: 985-875-7660 Fax: 985-875-7441 |