Mrs Beverly Ann Martin, is a 
Licensed Practical Nurse based in Mahanoy City, Pennsylvania. Mrs Beverly Ann Martin is licensed to practice in Pennsylvania (license number 9978794) and her current practice location is 
604 W Pine St, Mahanoy City, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at 
(570) 773-3487.
NPI number for Mrs Beverly Ann Martin is 1376669002 and her current mailing address is 604 W Pine St, Mahanoy City, Pennsylvania. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376669002.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Mrs Beverly Ann Martin | 
|---|
| Gender | Female | 
|---|
| Speciality | Licensed Practical Nurse | 
|---|
| Location | 604 W Pine St, Mahanoy City, Pennsylvania | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1376669002
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 09/11/2025
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Beverly Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1376669002 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 164W00000X | Licensed Practical Nurse | 9978794 (Pennsylvania) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | 9978794 (Pennsylvania) | Secondary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beverly Ann Martin is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mrs Beverly Ann Martin, 604 W Pine St,
 Mahanoy City, PA 17948-2410
 Ph: (570) 773-3487
 | Mrs Beverly Ann Martin, 604 W Pine St,
 Mahanoy City, PA 17948-2410
 Ph: (570) 773-3487
 | 
		
		 
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