| Tyra Dejean Martinear, CNP | |
|
1050 Forrer Blvd Ste 250, Kettering, OH 45420-3640 | |
| (800) 986-4801 | |
| (937) 684-9990 |
| Full Name | Tyra Dejean Martinear |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1050 Forrer Blvd Ste 250, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447621941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 323828 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.18355 (Ohio) | Primary |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932386059 PECOS PAC ID: 9234041948 Enrollment ID: O20031119000596 |
| Entity Name | Carebridge Palliative Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831423334 PECOS PAC ID: 0446392138 Enrollment ID: O20100119000176 |
| Entity Name | Py Medical Services Of Oh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154188548 PECOS PAC ID: 0244671501 Enrollment ID: O20240517000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyra Dejean Martinear, CNP 1050 Forrer Blvd Ste 250, Kettering, OH 45420-3640 Ph: (800) 986-4801 | Tyra Dejean Martinear, CNP 1050 Forrer Blvd Ste 250, Kettering, OH 45420-3640 Ph: (800) 986-4801 |
Holli N Kroger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5450 Far Hills Ave, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436 | |
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992 | |
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174 | |
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 | |
Stephanie Lynn Henry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |