| Walter A Martin, CRNA | |
|
251 E Antietam St, Hagerstown, MD 21740-5724 | |
| (302) 709-4497 | |
| (302) 733-0854 |
| Full Name | Walter A Martin |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 251 E Antietam St, Hagerstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003969585 | NPI | - | NPPES |
| R148205 | Other | MD | LICENSE MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R148205 (Maryland) | Primary |
| Entity Name | Mid-maryland Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669866489 PECOS PAC ID: 5890014542 Enrollment ID: O20150501000734 |
| Entity Name | Metro Maryland Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356799977 PECOS PAC ID: 1052604865 Enrollment ID: O20160801000538 |
| Entity Name | Maryland Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457829103 PECOS PAC ID: 4284971235 Enrollment ID: O20190129001329 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter A Martin, CRNA 251 E Antietam St, Hagerstown, MD 21740-5724 Ph: (302) 709-4497 | Walter A Martin, CRNA 251 E Antietam St, Hagerstown, MD 21740-5724 Ph: (302) 709-4497 |
Ms. Elizabeth Carrier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-790-8713 | |
Rebecca Makdad, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 200, Hagerstown, MD 21742 Phone: 301-714-4300 Fax: 301-714-4324 | |
Leslie Reese, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Antietam St, Hagerstown, MD 21740 Phone: 301-665-1717 Fax: 301-665-1810 | |
Randy Hutchingson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 251 E Antietam St, Hagerstown, MD 21740 Phone: 301-665-1717 Fax: 301-665-1810 | |
Marilyn Brown Uchino, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-790-8713 | |
Mr. Abraham Jacob Lachman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1110 Professional Court, Chevy Chase Anesthesia, Llc, Hagerstown, MD 21740 Phone: 240-420-5559 Fax: 240-420-3786 |