Kenneth Leon Martin, MA, LPC in Columbia, SC - Medicare Counselor Provider

Kenneth Leon Martin, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Columbia, South Carolina. His current practice location is 105 Paces Brook Ave, #10518, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 467-4125.

Kenneth Leon Martin is licensed to practice in South Carolina (license number 4941) 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 1093899007.

Contact Information

	Kenneth Leon Martin, MA, LPC
	105 Paces Brook Ave, #10518, Columbia, SC 29212-1642
	(803) 467-4125
	(803) 497-3920

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Leon Martin
Gender	Male
Speciality	Counselor - Mental Health
Location	105 Paces Brook Ave, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093899007
Provider Enumeration Date: 10/25/2006
Last Update Date: 09/06/2011

Medicare PECOS Information:

PECOS PAC ID: 4183076789
Enrollment ID: I20240119000330

Medical Identifiers

Medical identifiers for Kenneth Leon Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093899007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4941 (South 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. Kenneth Leon Martin allows following entities to bill medicare on his behalf.

Entity Name	It's Your Move
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396214987 PECOS PAC ID: 4880056837 Enrollment ID: O20230808003840

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. Kenneth Leon 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
Kenneth Leon Martin, MA, LPC 105 Paces Brook Ave, Apt 10518, Columbia, SC 29212-1642 Ph: (803) 467-4125	Kenneth Leon Martin, MA, LPC 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 Ph: (803) 467-4125

Reviews and Comments

Counselor in Columbia, SC

Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685
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Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777
Ashley Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9376 Fax: 803-726-9485
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846

Kenneth Leon Martin, MA, LPC - Medicare Counselor in Columbia, SC