Violeta Martinez, is a medicare enrolled "Dietitian, Registered" provider in La Grange, Texas. Her current practice location is
226 E Vine St, La Grange, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 702-8752.
Violeta Martinez is licensed to practice in Texas (license number DT86092) 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 1952945917.
Healthcare Provider's Profile
| Full Name | Violeta Martinez |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 226 E Vine St, La Grange, Texas |
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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: 1952945917
- Provider Enumeration Date: 11/03/2019
- Last Update Date: 03/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103248554
- Enrollment ID: I20200612001251
Medical Identifiers
Medical identifiers for Violeta Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952945917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT86092 (Texas) | Secondary |
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | DT86092 (Texas) | Secondary |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | DT86092 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | DT86092 (Texas) | 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. Violeta Martinez allows following entities to bill medicare on her behalf.
| Provider Name | Up-level Nutrition Coaching, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295455954
PECOS PAC ID: 8123489507
Enrollment ID: O20230801004171 |
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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. Violeta 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 |
|---|
Violeta Martinez,
226 E Vine St,
La Grange, TX 78945-1658
Ph: (979) 505-1599 | Violeta Martinez,
226 E Vine St,
La Grange, TX 78945-1658
Ph: (979) 702-8752 |
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