Edgar Alfredo Martinez, MD
Individual provider Active NPI Psychiatry Physician · Phoenixville, PA
NPI 1821261983 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1821261983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD427805 (PA)
- Practice address
- 1041 W Bridge St
Phoenixville, PA 19460-4342 - Phone
- (610) 415-9301
- NPI assigned
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Ponce School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pennsylvania Department of Human Services
Practice addresses (Care Compare)
1001 Sterigere St
Norristown, PA 19401-5300
Phone (610) 313-1015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000729 | PA | Practitioner - Psychiatry | 0143390849 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Public Welfare | Current |
Accepting new patients | |
| Pennsylvania Department of Human Services | Current |
Accepting new patients | |
| Fellowship Health Resources, Inc | Past |
Accepting new patients |
Locations
50 Kirkbride Dr
Danville, PA 17821
Phone (570) 271-4542
1001 Sterigere St
Norristown, PA 19401
Phone (610) 313-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD427805 | PA | Yes |
Addresses
Primary practice location
1041 W Bridge St
Phoenixville, PA 19460-4342
Mailing address
1028 Pimlico Dr
Norristown, PA 19403-3958
Phone (464) 681-9664
Other providers in Phoenixville, PA
- Katama Martellucci
- Christopher W Martin
- Jordan Martin
- Valerie Martin
- Victoria Suzanne Martin
- Mason Clinical Group, Inc.
- Stacy Massey
- Teresa MG Massey
- Christina T Mathew
- Danielle Mattingly
All providers in Phoenixville, PA · Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.