Jasmine Bombard Martinez, in Greenville, NC - Medicare Counselor Provider

Jasmine Bombard Martinez, is a medicare enrolled "Counselor - Mental Health" provider in Greenville, North Carolina. Her current practice location is 231 Commerce St, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 321-8080.

Jasmine Bombard Martinez is licensed to practice in North Carolina (license number 15879) 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 1003425901.

Contact Information

	Jasmine Bombard Martinez,
	231 Commerce St, Greenville, NC 27858-5029
	(252) 321-8080
	(252) 321-7999

Map and Direction

Healthcare Provider's Profile

Full Name	Jasmine Bombard Martinez
Gender	Female
Speciality	Counselor - Mental Health
Location	231 Commerce St, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003425901
Provider Enumeration Date: 07/27/2020
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5395188783
Enrollment ID: I20240213003360

Medical Identifiers

Medical identifiers for Jasmine Bombard Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003425901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	26425 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	15879 (North Carolina)	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. Jasmine Bombard Martinez allows following entities to bill medicare on her behalf.

Entity Name	Pride In North Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558

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. Jasmine Bombard Martinez 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
Jasmine Bombard Martinez, 231 Commerce St, Greenville, NC 27858-5029 Ph: (252) 321-8080	Jasmine Bombard Martinez, 231 Commerce St, Greenville, NC 27858-5029 Ph: (252) 321-8080

Reviews and Comments

Counselor in Greenville, NC

Ms. Celeste S Crawford, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 W Ragsdale Rd, Greenville, NC 27858 Phone: 252-341-8233
Erica M Little, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 Charles Blvd, Greenville, NC 27858 Phone: 252-215-5700 Fax: 252-215-5701
Lynn Battle Owens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Ct Ste A, Greenville, NC 27858 Phone: 252-347-8058
Dr. Nathalie Diona Mizelle-johnson, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Evans St, Suite B, Greenville, NC 27834 Phone: 252-756-7848
Mr. Bryan Crisp, LMFT, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Court, Suite A, Greenville, NC 27858 Phone: 252-413-8890 Fax: 252-756-7533
James Arthur Coulter, MSW, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6a Doctor's Park, Greenville, NC 27834 Phone: 252-744-4500 Fax: 252-744-3472

Jasmine Bombard Martinez, - Medicare Counselor in Greenville, NC