Dr Kristina R Potter-martino, DO is a medicare enrolled "Emergency Medicine" physician in St Pete Beach, Florida. She went to Nova Southeastern College Of Osteo Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
3401 E Debazan Ave, St Pete Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 244-1179.
Dr Kristina R Potter-martino is licensed to practice in California (license number 16150) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063666352.
Physician's Profile
| Full Name | Dr Kristina R Potter-martino |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 16 Years |
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| Location | 3401 E Debazan Ave, St Pete Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kristina R Potter-martino attended and graduated from Nova Southeastern College Of Osteo Medicine in 2008
NPI Data:
- NPI Number: 1063666352
- Provider Enumeration Date: 11/13/2008
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648443945
- Enrollment ID: I20210504000966
Medical Identifiers
Medical identifiers for Dr Kristina R Potter-martino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063666352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 34.010629 (Ohio) | Secondary |
| 207P00000X | Emergency Medicine | OS12423 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 5101018039 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 16150 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8376 |
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. Dr Kristina R Potter-martino allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Kristina R Potter-martino 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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Dr Kristina R Potter-martino, DO
4601 Dale Rd,
Modesto, CA 95356-9718
Ph: (209) 735-5000 | Dr Kristina R Potter-martino, DO
3401 E Debazan Ave,
St Pete Beach, FL 33706-4065
Ph: (813) 244-1179 |
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