Ulrike Jennifer Erika Martin, LISW is a medicare enrolled "Social Worker - Clinical" provider in Sunbury, Ohio. Her current practice location is
44 Kintner Pkwy Ste E, Sunbury, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 330-4310.
Ulrike Jennifer Erika Martin is licensed to practice in Ohio (license number I.2102600) 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 1003495060.
Healthcare Provider's Profile
| Full Name | Ulrike Jennifer Erika Martin |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 44 Kintner Pkwy Ste E, Sunbury, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003495060
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951774249
- Enrollment ID: I20230307003344
Medical Identifiers
Medical identifiers for Ulrike Jennifer Erika Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003495060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | I.2102600 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ulrike Jennifer Erika Martin allows following entities to bill medicare on her behalf.
| Entity Name | John Michael Showalter |
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| Entity Type | Practitioner - Clinical Psychologist |
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| Entity Identifiers | NPI Number: 1720077027
PECOS PAC ID: 6800787169
Enrollment ID: I20070716000100 |
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| Entity Name | Creekside Counseling And Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639856651
PECOS PAC ID: 7911360367
Enrollment ID: O20230831003818 |
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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. Ulrike Jennifer Erika 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 Address | Practice Location Address |
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Ulrike Jennifer Erika Martin, LISW
1970 N County Road 605,
Sunbury, OH 43074-8981
Ph: (614) 256-7521 | Ulrike Jennifer Erika Martin, LISW
44 Kintner Pkwy Ste E,
Sunbury, OH 43074-9368
Ph: (740) 330-4310 |
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