| Terry A Martin, CRNA | |
|
100 W Ross Blvd, Dodge City, KS 67801-7216 | |
| (620) 225-2847 | |
| (620) 225-7046 |
| Full Name | Terry A Martin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 100 W Ross Blvd, Dodge City, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639178874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54522 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etas Pllc | 8123481934 | 39 |
| Entity Name | Hogan Surgical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1104829597 PECOS PAC ID: 4880791490 Enrollment ID: O20070516000184 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20141015000028 |
| Entity Name | Etas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679259360 PECOS PAC ID: 8123481934 Enrollment ID: O20230828000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry A Martin, CRNA 915 N 5th St, Cimarron, KS 67835-9262 Ph: (620) 855-7208 | Terry A Martin, CRNA 100 W Ross Blvd, Dodge City, KS 67801-7216 Ph: (620) 225-2847 |
Dr. Dana Alan Reynolds, EDD, MS, ARNP-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2811 Avenue A, Apt. A, Dodge City, KS 67801 Phone: 620-371-6140 | |
Martha Jane Marples, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd, Dodge City, KS 67801 Phone: 620-225-2847 Fax: 620-225-7046 | |
Jason Witzel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 107 Corral Way Apt A, Dodge City, KS 67801 Phone: 205-585-1301 | |
Mrs. Jacquelyn Edith Rockman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Cherry St, Dodge City, KS 67801 Phone: 334-549-2903 | |
Kristopher Costello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3001 Avenue A, Dodge City, KS 67801 Phone: 620-225-8400 |