Tracy B Martin, PA is a
Physician Assistant physician based in Los Alamos, New Mexico. Tracy B Martin is licensed to practice in New Mexico (license number 99-PA28) and her current practice location is 2610 Trinity Dr Ste 14, Los Alamos, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 500-8213.
NPI number for Tracy B Martin is 1952460057 and her current mailing address is 3500 Trinity Dr Ste C3, Los Alamos, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952460057.
Physician's Profile
| Full Name | Tracy B Martin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2610 Trinity Dr Ste 14, Los Alamos, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952460057
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 10/11/2022
Medical Identifiers
Medical identifiers for Tracy B Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952460057 | NPI | - | NPPES |
| 000N1651 | Medicaid | NM | |
| 10029201 | Other | | LOVELACE |
| QMP000003399104 | Other | | MOLINA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | 99PA28 (New Mexico) | Secondary |
| 363A00000X | Physician Assistant | 99-PA28 (New Mexico) | 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. Tracy B Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy B Martin, PA
3500 Trinity Dr Ste C3,
Los Alamos, NM 87544-2221
Ph: (505) 500-8213 | Tracy B Martin, PA
2610 Trinity Dr Ste 14,
Los Alamos, NM 87544-2362
Ph: (505) 500-8213 |
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