| Michelle Stephany Martinez, PA-C | |
|
110 S Main St, Boiling Springs, NC 28017-9797 | |
| (714) 381-4133 | |
| Not Available |
| Full Name | Michelle Stephany Martinez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 110 S Main St, Boiling Springs, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235784869 | NPI | - | NPPES |
| 0010-10442 | Other | NC | NC MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-10442 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-10442 (North Carolina) | Primary |
| Entity Name | Concertocare Medical Group of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073281374 PECOS PAC ID: 2961897483 Enrollment ID: O20220321001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Stephany Martinez, PA-C 102 W 1st Ave Ste C, Lexington, NC 27292-3695 Ph: (704) 237-4240 | Michelle Stephany Martinez, PA-C 110 S Main St, Boiling Springs, NC 28017-9797 Ph: (714) 381-4133 |
Christina Stauber Bergen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 S Main St, Boiling Springs, NC 28017 Phone: 704-406-4000 |
Mrs. Erica Knight, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W College Ave, Boiling Springs, NC 28017 Phone: 704-406-4000 |
Andrew Sudduth Gamel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 S Main St, Boiling Springs, NC 28017 Phone: 704-406-2017 |
Brett Curtis, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 S Main St, Boiling Springs, NC 28017 Phone: 704-406-4000 |
Jennifer Kaitlyn Halama, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W College Avenue, Boiling Springs, NC 28017 Phone: 704-406-4000 |
Logan Elizabeth Turner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 S Main St, Boiling Springs, NC 28017 Phone: 704-406-2017 Fax: 704-406-2370 |