Samuel Jeffrey Martin, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Minneapolis, Minnesota. His current practice location is
800 E 28th St Ste 1750, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 807-5384.
Samuel Jeffrey Martin is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760002968.
Physician's Profile
| Full Name | Samuel Jeffrey Martin |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 800 E 28th St Ste 1750, Minneapolis, Minnesota |
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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: 1760002968
- Provider Enumeration Date: 04/17/2020
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355764838
- Enrollment ID: I20200701001634
Medical Identifiers
Medical identifiers for Samuel Jeffrey Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760002968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 76729 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Samuel Jeffrey 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 |
|---|
Samuel Jeffrey Martin,
2800 Wayzata Blvd Apt 406,
Minneapolis, MN 55405-2149
Ph: (952) 807-5384 | Samuel Jeffrey Martin,
800 E 28th St Ste 1750,
Minneapolis, MN 55407-3799
Ph: (952) 807-5384 |
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