| Stacy A Martin, APRN | |
|
100 N Main St, Chattahoochee, FL 32324-1107 | |
| (850) 793-6863 | |
| Not Available |
| Full Name | Stacy A Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 N Main St, Chattahoochee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174132435 | NPI | - | NPPES |
| 107516500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11008224 (Florida) | Primary |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Martin, APRN 100 N Main St, Chattahoochee, FL 32324-1107 Ph: (850) 793-6863 | Stacy A Martin, APRN 100 N Main St, Chattahoochee, FL 32324-1107 Ph: (850) 793-6863 |
Mr. Michael Jon Peel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Florida State Hospital, Chattahoochee, FL 32324 Phone: 850-663-7832 Fax: 850-663-7240 | |
Mr. Brian C Ham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 High St, Chattahoochee, FL 32324 Phone: 850-663-4643 Fax: 850-663-2350 | |
Mrs. Stephanie Mckinnie Beauchamp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7501 Fax: 850-669-7588 | |
Marites Orogo Nalupa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
Mrs. Lauren Genna Wood, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
Jordan Deanna Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-1065 |