Mysonya Earlisa Martin, NP is a medicare enrolled "Family Medicine" physician in Bowman, Georgia. Her current practice location is
206 E Church St, Bowman, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 245-7361.
Mysonya Earlisa Martin is licensed to practice in Georgia (license number RN160091) 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 1891474300.
Physician's Profile
| Full Name | Mysonya Earlisa Martin |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 206 E Church St, Bowman, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891474300
- Provider Enumeration Date: 07/12/2023
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749640779
- Enrollment ID: I20230721001419
Medical Identifiers
Medical identifiers for Mysonya Earlisa Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891474300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN160091 (Georgia) | 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. Mysonya Earlisa Martin allows following entities to bill medicare on her behalf.
| Entity Name | Medlink Georgia, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396794541
PECOS PAC ID: 3274442850
Enrollment ID: O20040303000376 |
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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. Mysonya Earlisa 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 |
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Mysonya Earlisa Martin, NP
206 E Church St,
Bowman, GA 30624-2109
Ph: (706) 245-7361 | Mysonya Earlisa Martin, NP
206 E Church St,
Bowman, GA 30624-2109
Ph: (706) 245-7361 |
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