Dr Symone Leslie Martin, MD - Medicare Student in an Organized Health Care Education/Training Program in Detroit, MI

Dr Symone Leslie Martin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. Her current practice location is 7800 W Outer Dr, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 543-6200.

Dr Symone Leslie Martin is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063091023.

Contact Information

Dr Symone Leslie Martin, MD
7800 W Outer Dr,
Detroit, MI 48235-3296
(313) 543-6200
(313) 543-6256



Physician's Profile

Full NameDr Symone Leslie Martin
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location7800 W Outer Dr, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063091023
  • Provider Enumeration Date: 04/06/2021
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719383769
  • Enrollment ID: I20210831001728

Medical Identifiers

Medical identifiers for Dr Symone Leslie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063091023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351048207 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Michigan)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 Symone Leslie Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Symone Leslie Martin, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 874-5378
Dr Symone Leslie Martin, MD
7800 W Outer Dr,
Detroit, MI 48235-3296

Ph: (313) 543-6200

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