| Yesenia Maria Martin, PMHNP | |
| 1255 Golfview Ave, Bartow, FL 33830-6736 | |
| (863) 519-0575 | |
| (863) 500-3776 | 
| Full Name | Yesenia Maria Martin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1255 Golfview Ave, Bartow, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194458802 | NPI | - | NPPES | 
| 115348600 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11020683 (Florida) | Primary | 
| Entity Name | Peace River Center For Personal Development Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056 | 
| Entity Name | Saluscare, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972557197 PECOS PAC ID: 8325014350 Enrollment ID: O20040909001075 | 
| Entity Name | Florida Counseling Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821584202 PECOS PAC ID: 0840544789 Enrollment ID: O20181113002093 | 
| Entity Name | The Traveling Therapist Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699244640 PECOS PAC ID: 2769723402 Enrollment ID: O20190408001121 | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Yesenia Maria Martin, PMHNP Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575 | Yesenia Maria Martin, PMHNP 1255 Golfview Ave, Bartow, FL 33830-6736 Ph: (863) 519-0575 | 
| Efrosini Xanthoudakis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 863-533-8111 | |
| Jeena Mathew,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Nevermore Cir, Bartow, FL 33830 Phone: 863-512-1055 | |
| Sarah Anne Crowley,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
| Ms. Patricia Clark, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3750 Fax: 863-519-3753 | |
| Sandra Kay Heisler,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
| Lois Hall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Brice Blvd, Bartow, FL 33830 Phone: 863-519-7900 |