Philease J Martin, in Stamford, CT - Medicare Physician Assistant

Philease J Martin, is a medicare enrolled "Physician Assistant - Medical" in Stamford, Connecticut. Her current practice location is 2001 W Main St, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 658-8291.

Philease J Martin is licensed to practice in New York (license number 021588-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255844197.

Contact Information

	Philease J Martin,
	2001 W Main St, Stamford, CT 06902-4501
	(203) 658-8291
	(203) 658-8294

Map and Direction

Provider's Profile

Full Name	Philease J Martin
Gender	Female
Speciality	Physician Assistant - Medical
Location	2001 W Main St, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255844197
Provider Enumeration Date: 11/14/2017
Last Update Date: 11/14/2017

Medicare PECOS Information:

PECOS PAC ID: 0941568844
Enrollment ID: I20200518000243

Medical Identifiers

Medical identifiers for Philease J Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255844197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	021588-1 (New York)	Primary

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. Philease J Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Philease J Martin, 21715 Jamaica Ave Apt 2b, Queens Village, NY 11428-2122 Ph: (773) 910-2518	Philease J Martin, 2001 W Main St, Stamford, CT 06902-4501 Ph: (203) 658-8291

Reviews and Comments

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Philease J Martin, - Medicare Physician Assistant in Stamford, CT