Tammy Cheri Martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mesa, Arizona. Her current practice location is
1705 W Main St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(877) 809-5092.
Tammy Cheri Martin is licensed to practice in Arizona (license number LCSW-17502) 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 1619221710.
Healthcare Provider's Profile
| Full Name | Tammy Cheri Martin |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1705 W Main St, Mesa, Arizona |
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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: 1619221710
- Provider Enumeration Date: 10/29/2012
- Last Update Date: 08/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224303524
- Enrollment ID: I20190517000503
Medical Identifiers
Medical identifiers for Tammy Cheri Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619221710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 252917 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-17502 (Arizona) | 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. Tammy Cheri Martin allows following entities to bill medicare on her behalf.
| Entity Name | Adelante Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083772545
PECOS PAC ID: 4688588643
Enrollment ID: O20031114000335 |
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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. Tammy Cheri 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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Tammy Cheri Martin, LCSW
3033 N Central Ave Ste 145,
Phoenix, AZ 85012-2808
Ph: (623) 583-3001 | Tammy Cheri Martin, LCSW
1705 W Main St,
Mesa, AZ 85201-6920
Ph: (877) 809-5092 |
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