Dr Katy Martin-fernandez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Winston Salem, North Carolina. Her current practice location is
4614 Country Club Rd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-6099.
Dr Katy Martin-fernandez is licensed to practice in North Carolina (license number 6237) 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 1326604174.
Healthcare Provider's Profile
Full Name | Dr Katy Martin-fernandez |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 4614 Country Club Rd, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326604174
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 10/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345617684
- Enrollment ID: I20221031000706
Medical Identifiers
Medical identifiers for Dr Katy Martin-fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326604174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 6237 (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. Dr Katy Martin-fernandez allows following entities to bill medicare on her behalf.
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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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. Dr Katy Martin-fernandez 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 |
Dr Katy Martin-fernandez, PHD 4614 Country Club Rd, Winston Salem, NC 27104-3520 Ph: (367) 166-0993 | Dr Katy Martin-fernandez, PHD 4614 Country Club Rd, Winston Salem, NC 27104-3520 Ph: (336) 716-6099 |
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