Vannessa Martin, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
1400 S Grand Ave Ste 600, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 742-6250.
Vannessa Martin is licensed to practice in California (license number 110520) 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 1114494143.
Healthcare Provider's Profile
Full Name | Vannessa Martin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1400 S Grand Ave Ste 600, Los Angeles, 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: 1114494143
- Provider Enumeration Date: 10/29/2018
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678915626
- Enrollment ID: I20240522003745
Medical Identifiers
Medical identifiers for Vannessa Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114494143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW89769 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 110520 (California) | 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. Vannessa Martin allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Vannessa 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 |
Vannessa Martin, Po Box 63366, Los Angeles, CA 90063-0366 Ph: (213) 742-6250 | Vannessa Martin, 1400 S Grand Ave Ste 600, Los Angeles, CA 90015-3068 Ph: (213) 742-6250 |
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