Individual ProviderMeghan MartinovskiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address25200 Little Mack Ave, Saint Clair Shores, MI 48081-2116(586) 884-5656(810) 516-7404PECOS EnrollmentBased on the most recent information from CMS, provider Meghan Martinovski is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053897496Provider TypeIndividualFull NameMartinovski, MeghanCredentialNPGenderFemaleSole ProprietorNoEnumeration Date7/18/2018Last Updated8/16/2019Contact InformationPractice LocationPractice Address25200 Little Mack Ave, Saint Clair Shores, MI 48081-2116Phone(586) 884-5656FaxUnlisted FaxMailing LocationMailing Address1831 Brookwood Ave, Royal Oak, MI 48073-4130Phone(810) 516-7404FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4704301740Michigan