| Tamara Martin, | |
|
121 Westfield Dr Ste 1, Archbold, OH 43502-1005 | |
| (419) 445-2015 | |
| (419) 445-8102 |
| Full Name | Tamara Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 121 Westfield Dr Ste 1, Archbold, Ohio |
| 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 |
|---|---|---|---|
| 1477000248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.019854 (Ohio) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.019854 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Community Health Associates, Inc. | 0941114250 | 76 |
| Entity Name | Midwest Community Health Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915170 PECOS PAC ID: 0941114250 Enrollment ID: O20031231000726 |
| Entity Name | Hles Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679806301 PECOS PAC ID: 2961549209 Enrollment ID: O20091020000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Martin, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Tamara Martin, 121 Westfield Dr Ste 1, Archbold, OH 43502-1005 Ph: (419) 445-2015 |
Denise Nofziger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr Ste 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 | |
Caitlin Roth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr Ste 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 | |
Tamara Snyder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Westfield Dr, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-446-3072 |