| Ms Michelle Martin, | |
|
4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 | |
| (512) 323-5465 | |
| (512) 327-1390 |
| Full Name | Ms Michelle Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 4107 Medical Pkwy Ste 210, Austin, Texas |
| 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 |
|---|---|---|---|
| 1063823383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09277 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Seton Williamson | Round rock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seton Family Of Doctors | 0941333280 | 785 |
| Entity Name | Hospitalist Concepts Consulting, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891842258 PECOS PAC ID: 8729179809 Enrollment ID: O20070802000721 |
| Entity Name | Seton Family of Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle Martin, 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 Ph: (512) 323-5465 | Ms Michelle Martin, 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 Ph: (512) 323-5465 |
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