Martha M Coetzee, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME96316 Issued in FL

Practice address

1004 W Oak St
Arcadia, FL 34266-3369

Phone

(561) 843-3775

NPI assigned

Dec 28, 2005

Last updated

Dec 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, VT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

PsychiatryAlso: Addiction Medicine, Neurology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCCD FL Psychiatry Services PA

  dba Talkiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457
  Medicare reassignment Care Compare group
• Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
  • NPI 1730185232
  Medicare reassignment
• West Florida Specialty Physicians LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1942538012
  NPD (past)
• Pennsylvania Department of Human Services

  dba Danville State Hospital

  • Psychiatric Hospital
  • Danville, PA
  • NPI 1457334336
  NPD (past)
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1215914593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663369",
            "telephone_number": "561-843-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663369",
            "telephone_number": "561-843-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COETZEE",
        "first_name": "MARTHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0012753",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME96316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001348580007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry L Chouinard, ARNP
• Dennis Paul Cirillo, M.D.
• Vanessa Cisneros
• Coast to Coast MHS, LLC (Direct Access Counseling)
• Susan Cobb, L.C.S.W
• Elizabeth Patricia Collins, RN
• Communication and Rehabilitation Station LLC
• Janile Contreras, LCSW
• Patricia Susan Cook, DMD
• Noeline Jean-Marie Coore, LCSW

• Psychiatry Physician in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.