Mr Shiloh Wayne Martin, MED LPC is a medicare enrolled "Counselor - Professional" provider in Cordell, Oklahoma. His current practice location is
210 E 1st St, Cordell, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 515-1167.
Mr Shiloh Wayne Martin is licensed to practice in Oklahoma (license number 4309) 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 1255588901.
Healthcare Provider's Profile
Full Name | Mr Shiloh Wayne Martin |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 210 E 1st St, Cordell, Oklahoma |
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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: 1255588901
- Provider Enumeration Date: 08/25/2008
- Last Update Date: 05/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 4486006996
- Enrollment ID: I20240120000349
Medical Identifiers
Medical identifiers for Mr Shiloh Wayne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255588901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 4309 (Oklahoma) | 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. Mr Shiloh Wayne Martin allows following entities to bill medicare on his behalf.
Entity Name | Claremore Indian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104 |
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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. Mr Shiloh Wayne 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 |
Mr Shiloh Wayne Martin, MED LPC 210 E 1st St, Cordell, OK 73632-4820 Ph: (580) 515-1167 | Mr Shiloh Wayne Martin, MED LPC 210 E 1st St, Cordell, OK 73632-4820 Ph: (580) 515-1167 |
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