Nicole Marie Martin, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Jermyn, Pennsylvania. Her current practice location is
5 S Washington Ave, Jermyn, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 417-8407.
Nicole Marie Martin is licensed to practice in Florida (license number APRN11017188) 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 1972068930.
Physician's Profile
Full Name | Nicole Marie Martin |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5 S Washington Ave, Jermyn, Pennsylvania |
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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: 1972068930
- Provider Enumeration Date: 02/04/2019
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729311766
- Enrollment ID: I20190606002414
Medical Identifiers
Medical identifiers for Nicole Marie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972068930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | SP019951 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11017188 (Florida) | 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. Nicole Marie Martin allows following entities to bill medicare on her behalf.
Entity Name | Ophelia Medical Group Fl Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588244750 PECOS PAC ID: 7810398534 Enrollment ID: O20210701000351 |
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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. Nicole Marie 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 |
Nicole Marie Martin, CRNP 311 Oak St, Duryea, PA 18642-1909 Ph: (570) 417-8407 | Nicole Marie Martin, CRNP 5 S Washington Ave, Jermyn, PA 18433-1121 Ph: (570) 417-8407 |
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