Rafael Martinez, - Medicare Family Practice in Great Falls, MT

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Rafael Martinez, is a medicare enrolled "Family Medicine" physician in Great Falls, Montana. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cmsc Llc, Concord Company Of Tennessee Pllc, Third Coast Emergency Physicians Southwest Pa and his current practice location is 1101 26th St S, Great Falls, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 731-8888.

Rafael Martinez is licensed to practice in Montana (license number 52575) 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 1508286451.

Contact Information

Rafael Martinez,
1101 26th St S,
Great Falls, MT 59405
(406) 731-8888
(406) 731-8876

Map and Direction




Physician's Profile

Full NameRafael Martinez
GenderMale
SpecialityFamily Practice
Experience10 Years
Location1101 26th St S, Great Falls, Montana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael Martinez attended and graduated from Nova Southeastern College Of Osteo Medicine in 2014
  NPI Data:
  • NPI Number: 1508286451
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 04/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244516466
  • Enrollment ID: I20170424000978

Medical Identifiers

Medical identifiers for Rafael Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508286451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 04558 (Kentucky)Secondary
208M00000XHospitalist 52575 (Montana)Secondary
207Q00000XFamily Medicine 52575 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin Lakes Regional Medical CenterLeitchfield, KYHospital
Baptist Emergency HospitalSan antonio, TXHospital
Great Falls Clinic HospitalGreat falls, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmsc Llc589060249427
Concord Company Of Tennessee Pllc034558810944
Third Coast Emergency Physicians Southwest Pa680079444746

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. Rafael Martinez allows following entities to bill medicare on his behalf.
Entity NameBenefis Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780968974
PECOS PAC ID: 1153235296
Enrollment ID: O20100629000044
Entity NameCmsc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639109978
PECOS PAC ID: 5890602494
Enrollment ID: O20130502000527

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. Rafael Martinez 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 AddressPractice Location Address
Rafael Martinez,
1101 26th St S,
Great Falls, MT 59405

Ph: (406) 731-8888		Rafael Martinez,
1101 26th St S,
Great Falls, MT 59405

Ph: (406) 731-8888

Reviews and Comments


Family Medicine Doctors in Great Falls, MT

Meghan Mathes, MSN, FNP-BC
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James H Asthalter, DO
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Phone: 406-454-2171    Fax: 406-771-3021
Dr. Margaret Anne Becker, M.D.
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Phone: 406-453-1634    
Carey J Welsh, MD
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Phone: 406-268-1600    Fax: 406-771-3549
Mr. Christopher Gleason, MSN APRN FNP-C
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Practice Location: 1400 29th St S Ste 1, Great Falls, MT 59405
Phone: 406-454-6973    
David R Engbrecht, MD
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Practice Location: 1600 Division Rd, Great Falls, MT 59404
Phone: 406-268-1600    Fax: 406-771-3549
Loy L Anderson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1600 Division Road, Great Falls, MT 59404
Phone: 406-268-1600    Fax: 406-771-3549

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.