| Nicole Martin, PA-C | |
|
1090 Commerce Dr, Prescott, AZ 86305-3700 | |
| (480) 926-7800 | |
| Not Available |
| Full Name | Nicole Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1090 Commerce Dr, Prescott, Arizona |
| 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 |
|---|---|---|---|
| 1114540564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7848 (Arizona) | Primary |
| 363AM0700X | Physician Assistant - Medical | 7848 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Yavapai | 8921919499 | 20 |
| Entity Name | County of Yavapai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659317022 PECOS PAC ID: 8921919499 Enrollment ID: O20031204000266 |
| Entity Name | Canyonlands Community Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609966860 PECOS PAC ID: 4082509591 Enrollment ID: O20040219000713 |
| Entity Name | Desert Ridge Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386133080 PECOS PAC ID: 5991056350 Enrollment ID: O20180924002341 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Martin, PA-C 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: Not Available | Nicole Martin, PA-C 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (480) 926-7800 |
Mr. Joseph Paul Maidl, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1998 Prescott Lakes Pkwy Apt 250, Prescott, AZ 86301 Phone: 405-795-7784 |
Heather Buttrum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560 |
Mr. Matthew Alexander Namihas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr, Suite A, Prescott, AZ 86301 Phone: 928-776-0601 Fax: 928-776-0620 |
Shalena Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3120 Clearwater Dr, Prescott, AZ 86305 Phone: 928-771-3704 Fax: 928-771-0434 |
Victoria Wood, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7413 |
Mr. Patrick J Mcgrath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1947 Commerce Center Cir Ste A, Prescott, AZ 86301 Phone: 928-458-5723 Fax: 928-237-1787 |
Drelan Che-stewart Fowler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 919 12th Pl Ste 12, Prescott, AZ 86305 Phone: 928-227-1954 Fax: 480-591-8225 |