Devona Martin, MD is a medicare enrolled "Pediatrics" physician in Willow Park, Texas. Her current practice location is
136 El Chico Trl, Ste 102, Willow Park, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 441-5412.
Devona Martin is licensed to practice in Texas (license number N6474) 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 1760675961.
Physician's Profile
Full Name | Devona Martin |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 136 El Chico Trl, Willow Park, Texas |
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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: 1760675961
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406972231
- Enrollment ID: I20100929000486
Medical Identifiers
Medical identifiers for Devona Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760675961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | N6474 (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. Devona Martin allows following entities to bill medicare on her behalf.
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
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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. Devona 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 |
Devona Martin, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Devona Martin, MD 136 El Chico Trl, Ste 102, Willow Park, TX 76087-8863 Ph: (817) 441-5412 |
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