Ms Alexandra Martin, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lebanon, New Hampshire. Her current practice location is
1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 650-5000.
Ms Alexandra Martin is licensed to practice in New Hampshire (license number 091190-23) 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 1609441096.
Physician's Profile
Full Name | Ms Alexandra Martin |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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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: 1609441096
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183025034
- Enrollment ID: I20210629002217
Medical Identifiers
Medical identifiers for Ms Alexandra Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609441096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | SP023139 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | 091190-23 (New Hampshire) | 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. Ms Alexandra Martin allows following entities to bill medicare on her behalf.
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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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. Ms Alexandra 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 |
Ms Alexandra Martin, MSN, CRNP 250 W Lancaster Ave Ste 220, Paoli, PA 19301-1751 Ph: () - | Ms Alexandra Martin, MSN, CRNP 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000 |
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