Keith H Martinez, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Eatontown, New Jersey. His current practice location is
1 Corbett Way, Eatontown, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 380-7061.
Keith H Martinez is licensed to practice in New Jersey (license number 44SC05187400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447596028.
Healthcare Provider's Profile
| Full Name | Keith H Martinez |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1 Corbett Way, Eatontown, New Jersey |
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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: 1447596028
- Provider Enumeration Date: 12/30/2012
- Last Update Date: 03/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 4587036041
- Enrollment ID: I20230209000679
Medical Identifiers
Medical identifiers for Keith H Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447596028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00155000 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05187400 (New Jersey) | 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. Keith H Martinez allows following entities to bill medicare on his behalf.
| Entity Name | Recovery Innovations Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487771341
PECOS PAC ID: 0941672406
Enrollment ID: O20230209000547 |
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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. Keith H 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 |
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Keith H Martinez, LCSW, LCADC
1 Corbett Way,
Eatontown, NJ 07724-4247
Ph: (732) 380-7061 | Keith H Martinez, LCSW, LCADC
1 Corbett Way,
Eatontown, NJ 07724-4247
Ph: (732) 380-7061 |
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