| Sally Teadt Martinez, FNP-BC, DNP | |
|
1415 Nw 23rd Ave, Chiefland, FL 32626-1976 | |
| (352) 493-9393 | |
| (352) 493-9390 |
| Full Name | Sally Teadt Martinez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1415 Nw 23rd Ave, Chiefland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720235864 | NPI | - | NPPES |
| Entity Name | Amazing Grace Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821702663 PECOS PAC ID: 7517331770 Enrollment ID: O20230330000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Teadt Martinez, FNP-BC, DNP 1415 Nw 23rd Ave, Chiefland, FL 32626-1976 Ph: (352) 493-9393 | Sally Teadt Martinez, FNP-BC, DNP 1415 Nw 23rd Ave, Chiefland, FL 32626-1976 Ph: (352) 493-9393 |
Mrs. Britney Liles Herring, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2471 N Young Blvd, Chiefland, FL 32626 Phone: 352-356-0436 Fax: 866-316-7834 | |
Vera E Brecken-marquis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1315 Nw 21st Ave, Chiefland, FL 32626 Phone: 352-490-5100 Fax: 352-490-5103 | |
Chirstie Biggs, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 N Main St Ste 1-2, Chiefland, FL 32626 Phone: 352-493-7274 Fax: 352-493-9290 | |
Jennifer Munksgard, MSN, ARNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2471 N Young Blvd, Chiefland, FL 32626 Phone: 352-363-1034 | |
Sheryl Burke, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 N Main St, Chiefland, FL 32626 Phone: 352-493-7274 Fax: 352-493-9290 | |
Alyson Souffrant, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 N Main St, Chiefland, FL 32626 Phone: 352-605-7846 | |
Laura Petersen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Nw 23rd Ave, Chiefland, FL 32626 Phone: 352-493-9393 |