Robert Martin, LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. His current practice location is
4906 Radford Ave, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 354-1996.
Robert Martin is licensed to practice in Virginia (license number 0904002765) 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 1518401504.
Healthcare Provider's Profile
| Full Name | Robert Martin |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4906 Radford Ave, Richmond, Virginia |
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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: 1518401504
- Provider Enumeration Date: 12/09/2016
- Last Update Date: 12/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103182928
- Enrollment ID: I20171113000113
Medical Identifiers
Medical identifiers for Robert Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518401504 | NPI | - | NPPES |
| 13939610 | Other | VA | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710000721 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904002765 (Virginia) | 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. Robert Martin allows following entities to bill medicare on his behalf.
| Entity Name | Susan Archer, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265766208
PECOS PAC ID: 2062550148
Enrollment ID: O20091110000500 |
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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. Robert 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 |
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Robert Martin, LCSW CSAC
4906 Radford Ave,
Richmond, VA 23230-3512
Ph: (804) 354-1996 | Robert Martin, LCSW CSAC
4906 Radford Ave,
Richmond, VA 23230-3512
Ph: (804) 354-1996 |
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