Dr Tara Dawn Martinez, DO is a medicare enrolled "Colon & Rectal Surgery" physician in Commack, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2006 and has 18 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice New York University and her current practice location is
2171 Jericho Tpke Ste 100, Commack, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 486-5030.
Dr Tara Dawn Martinez is licensed to practice in New York (license number 267602) 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 1962693887.
Physician's Profile
Full Name | Dr Tara Dawn Martinez |
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Gender | Female |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 18 Years |
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Location | 2171 Jericho Tpke Ste 100, Commack, New York |
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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. |
Medical Education and Training:
- Dr Tara Dawn Martinez attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006
NPI Data:
- NPI Number: 1962693887
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274772272
- Enrollment ID: I20130625000019
Medical Identifiers
Medical identifiers for Dr Tara Dawn Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962693887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 267602 (New York) | Secondary |
208C00000X | Colon & Rectal Surgery | OS16564 (Florida) | Secondary |
208C00000X | Colon & Rectal Surgery | 267602 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
New York University | 1355232422 | 4495 |
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 Tara Dawn Martinez allows following entities to bill medicare on her behalf.
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
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Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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Entity Name | Surgical Specialist Of Long Island Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871996223 PECOS PAC ID: 7315269867 Enrollment ID: O20141211001317 |
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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 Tara Dawn 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 |
Dr Tara Dawn Martinez, DO 2171 Jericho Tpke Ste 100, Commack, NY 11725-2900 Ph: (631) 486-5030 | Dr Tara Dawn Martinez, DO 2171 Jericho Tpke Ste 100, Commack, NY 11725-2900 Ph: (631) 486-5030 |
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