Mr Michael James Martin Jr, MD is a medicare enrolled "Family Medicine" physician in Millersport, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairfield Healthcare Professionals Inc and his current practice location is
12135 Lancaster St., Millersport, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 467-2787.
Mr Michael James Martin Jr is licensed to practice in Ohio (license number 35-07-1374) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083662951.
Physician's Profile
| Full Name | Mr Michael James Martin Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 12135 Lancaster St., Millersport, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Michael James Martin Jr attended and graduated from Northeastern Ohio University College Of Medicine in 1995
NPI Data:
- NPI Number: 1083662951
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 09/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 3476747387
- Enrollment ID: I20101104000089
Medical Identifiers
Medical identifiers for Mr Michael James Martin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083662951 | NPI | - | NPPES |
| 2077738 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 35-07-1374 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fairfield Healthcare Professionals Inc | 4789596362 | 139 |
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. Mr Michael James Martin Jr allows following entities to bill medicare on his behalf.
| Entity Name | Fairfield Healthcare Professionals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457396368
PECOS PAC ID: 4789596362
Enrollment ID: O20031125000932 |
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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. Mr Michael James Martin Jr 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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Mr Michael James Martin Jr, MD
Po Box 218,
Millersport, OH 43046-0218
Ph: (740) 467-2787 | Mr Michael James Martin Jr, MD
12135 Lancaster St.,
Millersport, OH 43046-0218
Ph: (740) 467-2787 |
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