Neil T Martin (NPI# 1467891119, PAC ID# 7315163490) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467891119 |
| PAC ID by PECOS | 7315163490 |
| Professional Enrollment ID | I20160720000967 |
| Full Name | Neil T Martin |
| Organization Legal Name | HIGH POINT FAMILY MEDICINE LLC |
| Address |
1255 11th St Fennimore WI 53809-1424 |
| Phone Number | 6088223363 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446346514 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521322 | GRANT REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1255 11th St, Fennimore, WI 53809-1424 | 6088223363 | HIGH POINT FAMILY MEDICINE LLC |
| 105 E Lincoln Ave, Lancaster, WI 53813-2019 | 6087233100 | HIGH POINT FAMILY MEDICINE LLC |
| 507 S Monroe St, Lancaster, WI 53813-2054 | 6087232131 | GRANT REGIONAL HEALTH CENTER INC |
| Organization Legal Name | HIGH POINT FAMILY MEDICINE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica H Varnam | Family Medicine | High Point Family Medicine LLC | 105 E Lincoln Ave, Lancaster, WI 53813-2019 |
| Eric G Slane | Family Medicine | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Eric E Stader | Family Medicine | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Jessica L Klein | Physician Assistant | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Street Address |
1255 11TH ST |
| City | FENNIMORE |
| State | WI |
| Zip | 53809-1424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric G Slane | Family Medicine | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Eric E Stader | Family Medicine | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Jessica L Klein | Physician Assistant | High Point Family Medicine LLC | 1255 11th St, Fennimore, WI 53809-1424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Mae Lease | Nurse Practitioner | 770 Lincoln Ave, Suite 2, Fennimore, WI 53809-1536 | |
| Regina A Trollop | Clinical Social Worker | 770 Lincoln Ave, Suite 4, Fennimore, WI 53809-1563 | |
| Steven A Birkett | Chiropractic | 990 Lincoln Ave, Fennimore, WI 53809-1742 |
| City | FENNIMORE |
| Zip Code | 53809 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FENNIMORE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Neil T 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.