Mrs Ricki R Martin, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Mahoning, Ohio. Her current practice location is
5212 Mahoning Ave, Suite 305, Mahoning, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 797-8800.
Mrs Ricki R Martin is licensed to practice in * (Not Available) (license number ) 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 1003965617.
Healthcare Provider's Profile
| Full Name | Mrs Ricki R Martin |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 5212 Mahoning Ave, Mahoning, Ohio |
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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: 1003965617
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5294176954
- Enrollment ID: I20240513000497
Medical Identifiers
Medical identifiers for Mrs Ricki R Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003965617 | NPI | - | NPPES |
| 7022689 | Other | OH | AETNA |
| 000000388413 | Other | OH | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Mrs Ricki R Martin allows following entities to bill medicare on her behalf.
| Entity Name | Allied Behavioral Health Services, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902984248
PECOS PAC ID: 5092713529
Enrollment ID: O20061117000155 |
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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. Mrs Ricki R 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 |
|---|
Mrs Ricki R Martin, LPCC
5204 Mahoning Ave, Suite 105,
Austintown, OH 44515
Ph: (330) 797-0036 | Mrs Ricki R Martin, LPCC
5212 Mahoning Ave, Suite 305,
Mahoning, OH 44515
Ph: (330) 797-8800 |
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