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. |
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: I20240806001557
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 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. Samuel Jeffrey Martin allows following entities to bill medicare on his behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
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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. 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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