| Miss Kimberly Charise Martin, NP-C | |
|
1802 Braeburn Dr, Salem, VA 24153-7357 | |
| (540) 772-3400 | |
| Not Available |
| Full Name | Miss Kimberly Charise Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1802 Braeburn Dr, Salem, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063946358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 0024174765 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024174765 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Medical Center | Salem, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 191 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kimberly Charise Martin, NP-C 2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4692 Ph: (615) 373-7600 | Miss Kimberly Charise Martin, NP-C 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3400 |
Tanya Willard, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Elizabeth Black O'connor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Megan Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 | |
Matthew Bailey, ACNP, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 | |
Deborah Edwards Davis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 | |
Mrs. Greta Pablo Estacio, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1937 |