Dr Tammy Anne Martielli, PHD is a
Clinical Neuropsychologist based in Creve Coeur, Missouri. Dr Tammy Anne Martielli is licensed to practice in Missouri (license number 2009010486) and her current practice location is
425 N New Ballas Rd Ste 290, Creve Coeur, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 324-3800.
NPI number for Dr Tammy Anne Martielli is 1104013689 and her current mailing address is 425 N New Ballas Rd Ste 290, Creve Coeur, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104013689.
Healthcare Provider's Profile
| Full Name | Dr Tammy Anne Martielli |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 425 N New Ballas Rd Ste 290, Creve Coeur, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104013689
- Provider Enumeration Date: 09/28/2007
- Last Update Date: 06/30/2020
Medical Identifiers
Medical identifiers for Dr Tammy Anne Martielli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104013689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2009010486 (Missouri) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2009010486 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tammy Anne Martielli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tammy Anne Martielli, PHD
425 N New Ballas Rd Ste 290,
Creve Coeur, MO 63141-6852
Ph: (314) 324-3800 | Dr Tammy Anne Martielli, PHD
425 N New Ballas Rd Ste 290,
Creve Coeur, MO 63141-6852
Ph: (314) 324-3800 |
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