Ashley Mae Martin (NPI# 1235534066, PAC ID# 8921324070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235534066 |
| PAC ID by PECOS | 8921324070 |
| Professional Enrollment ID | I20150306002267 |
| Full Name | Ashley Mae Martin |
| Organization Legal Name | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Address |
1601 W Jackson St Suite 104 Macomb IL 61455-1901 |
| Phone Number | 3095753222 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496049330 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140089 | MC DONOUGH DISTRICT HOSPITAL |
| 140015 | BLESSING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 | 3095753222 | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Organization Legal Name | LAKEVIEW MEDICAL AND PSYCHIATRIC HEALTHCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Bednarz | Psychiatry | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Street Address |
1601 W JACKSON ST SUITE 104 |
| City | MACOMB |
| State | IL |
| Zip | 61455-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Bednarz | Psychiatry | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Bruenger | Chiropractic | 1526 W Jackson St, Macomb, IL 61455-1900 | |
| Thomas Jefferson Pridemore Jr. | Chiropractic | 109 S Johnson St, Macomb, IL 61455-2134 | |
| Terry B Vail | Optometry | 131 S Randolph St, Macomb, IL 61455-2207 | |
| Christine M Standard | Qualified Audiologist | 227 S Randolph St, Macomb, IL 61455-2209 | |
| David R Culver | Optometry | 222 S Randolph St, Macomb, IL 61455-2210 | |
| Gary L Sash | Chiropractic | 117 E Carroll St, Macomb, IL 61455-2222 | |
| Becky J Hoelscher | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 301 E Jefferson St, Macomb, IL 61455-2312 |
| Hannah L Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Tim A Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Brigette A Colley | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Find all physicians in zip 61455 | |||
| City | MACOMB |
| Zip Code | 61455 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MACOMB + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ashley Mae Martin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.