Kelley Ann Martin, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. Her current practice location is
1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 265-0111.
Kelley Ann Martin is licensed to practice in * (Not Available) (license number ) 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 1427686849.
Physician's Profile
Full Name | Kelley Ann Martin |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1600 Sw Archer Rd, Gainesville, Florida |
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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: 1427686849
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416376637
- Enrollment ID: I20201007001263
Medical Identifiers
Medical identifiers for Kelley Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427686849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 167635 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Kelley Ann 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 |
Kelley Ann Martin, 4312 Nw 21st St, Gainesville, FL 32605-1710 Ph: (740) 253-9001 | Kelley Ann Martin, 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-0111 |
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