| Tammi Jo Martinez, FNP-BC, PMHNP-BC | |
|
46 E State Highway 162, Portageville, MO 63873-9177 | |
| (573) 391-8031 | |
| (573) 391-8050 |
| Full Name | Tammi Jo Martinez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 46 E State Highway 162, Portageville, Missouri |
| 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 |
|---|---|---|---|
| 1376977488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2021019156 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2013021889 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Pemiscot County Memorial Hospital | Hayti, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Community Clinic Llc | 0648608117 | 3 |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
| Entity Name | Tri-county Community Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811527138 PECOS PAC ID: 0648608117 Enrollment ID: O20200316001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammi Jo Martinez, FNP-BC, PMHNP-BC 609 Holly Hill Dr, Sikeston, MO 63801-3239 Ph: (573) 475-8022 | Tammi Jo Martinez, FNP-BC, PMHNP-BC 46 E State Highway 162, Portageville, MO 63873-9177 Ph: (573) 391-8031 |
Ladonna Jean Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 E State Highway 162, Portageville, MO 63873 Phone: 573-359-1372 Fax: 573-359-3520 | |
Lorna A Turnage, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 E 3rd St, Portageville, MO 63873 Phone: 573-379-2100 Fax: 573-379-2101 | |
Mrs. Morgan Lindsey Brasher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Willow Rd, Portageville, MO 63873 Phone: 573-380-6501 | |
Amy Kellams Stinnett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 E 3rd St, Portageville, MO 63873 Phone: 573-379-5467 Fax: 573-379-5671 |