| Jessica Athena Martin, | |
|
1011 Frontage Rd, Greenville, SC 29615-4240 | |
| (864) 242-4263 | |
| (864) 242-2250 |
| Full Name | Jessica Athena Martin |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 1011 Frontage Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053033605 | NPI | - | NPPES |
| PENDING | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 4381 (South Carolina) | Primary |
| Provider Name | Prisma Health University Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Athena Martin, 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Jessica Athena Martin, 1011 Frontage Rd, Greenville, SC 29615-4240 Ph: (864) 242-4263 |
Martha Manieri, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 Fax: 864-244-6923 | |
Rebecca Grace Gratton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1353 Fax: 864-331-1446 | |
Shannon Jones, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 | |
Jami Trenor, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 East Augusta Place, Greenville, SC 29605 Phone: 864-991-8379 | |
Mrs. Kelly Macintire Prater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1364 | |
Ginnette Malay-romkey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 | |
Jocelyn R Keefer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 |