| Ms Jeanelle Martinez, CNM | |
|
472 Chalan San Antonio, Pemar Place, Tamuning, GU 96913-3605 | |
| (671) 647-1830 | |
| (671) 647-1919 |
| Full Name | Ms Jeanelle Martinez |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 472 Chalan San Antonio, Tamuning, Guam |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447601620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NP0156 (Guam) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jeanelle Martinez, CNM 472 Chalan San Antonio, Pemar Place, Tamuning, GU 96913-3605 Ph: (671) 647-1830 | Ms Jeanelle Martinez, CNM 472 Chalan San Antonio, Pemar Place, Tamuning, GU 96913-3605 Ph: (671) 647-1830 |
Mrs. Cathleen A. Distor, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3546 |
Alice C Leliukas, RN CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Fhp, Tamuning, GU 96913 Phone: 671-646-5825 Fax: 671-646-3883 |
Mrs. Christina Joy Anciano, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 472 Chalan San Antonio, Tamuning, GU 96913 Phone: 671-300-6310 Fax: 671-647-1919 |
Kathryn May Cooper, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 472 Chalan San Antonio, Tamuning, GU 96913 Phone: 671-300-6310 Fax: 671-647-1919 |
Mrs. Teresa Lynn Anderson, RN/CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 472 Chalan San Antonio Pemar Place, C/o: Marianas Physician Group, Tamuning, GU 96913 Phone: 671-647-1830 |