| Michelle Martin, | |
|
120 Professional Pl, Bridgeport, WV 26330-4599 | |
| (304) 476-6024 | |
| Not Available |
| Full Name | Michelle Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 120 Professional Pl, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750017604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 113712 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 113712 (West Virginia) | Primary |
| Entity Name | Gr&w Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Martin, 120 Professional Pl, Bridgeport, WV 26330-4599 Ph: (304) 476-6024 | Michelle Martin, 120 Professional Pl, Bridgeport, WV 26330-4599 Ph: (304) 476-6024 |
Jessica Lynn Pritt, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Miss Amber Kayla Cochran, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Michelle L Hasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 Fax: 681-342-3507 | |
Sarah Lyndsey Woods, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Thompson Dr, Bridgeport, WV 26330 Phone: 304-278-4410 | |
Erin Colleen Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330 Phone: 304-624-7200 Fax: 304-423-5208 | |
Jennifer Michelle Fittro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-203-3967 | |
Sarah A Layman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 Phone: 304-842-3993 |