Samantha Nicole Martinez, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Sunland, California. Her current practice location is
10500 Sherman Grove Ave Apt 204, Sunland, California. You can reach out to her office (for appointments etc.) via phone at
(818) 276-5095.
Samantha Nicole Martinez 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 1831757327.
Healthcare Provider's Profile
Full Name | Samantha Nicole Martinez |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 10500 Sherman Grove Ave Apt 204, Sunland, California |
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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: 1831757327
- Provider Enumeration Date: 05/30/2019
- Last Update Date: 07/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0244675189
- Enrollment ID: I20240229004144
Medical Identifiers
Medical identifiers for Samantha Nicole Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831757327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Samantha Nicole Martinez allows following entities to bill medicare on her behalf.
Entity Name | Collaborative Psychology Group A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336532340 PECOS PAC ID: 9436494671 Enrollment ID: O20181217002672 |
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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. Samantha Nicole 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 |
Samantha Nicole Martinez, 10500 Sherman Grove Ave Apt 204, Sunland, CA 91040-3407 Ph: (818) 276-5095 | Samantha Nicole Martinez, 10500 Sherman Grove Ave Apt 204, Sunland, CA 91040-3407 Ph: (818) 276-5095 |
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