| Peter Barry Martin, AA | |
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (809) 692-1000 | |
| Not Available | 
| Full Name | Peter Barry Martin | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiologist Assistant | 
| Location | 809 82nd Pkwy, Myrtle Beach, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962289322 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2000-00037 (North Carolina) | Secondary | 
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary | 
| Entity Name | Southwestern Vermont Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205865789 PECOS PAC ID: 0143138446 Enrollment ID: O20060929000045 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter Barry Martin, AA 23 Berkeley St, Nashua, NH 03064-1933 Ph: (603) 459-5865 | Peter Barry Martin, AA 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (809) 692-1000 | 
| Nyein Wint Mullenniex, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 N Gate Rd, Myrtle Beach, SC 29572 Phone: 843-272-7232 | |
| Mr. Robert Edwin Jones Iv, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
| Mrs. Natalie Anderson Kahn, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
| Madison Ireland Adkins,  Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
| Dennis Haugen, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 | |
| Mr. Charles Robert Nagel Jr.,  Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 615-344-9551 | |
| Ms. Nyree M Penn, AA-C Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Grand Strand Regional Medical Center, Myrtle Beach, SC 29572 Phone: 843-692-1000 |