Travis Patrick Martin, is a medicare enrolled "Pain Medicine - Pain Medicine" physician in San Luis Obispo, California. His current practice location is
1551 Bishop St Ste 210, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at
(805) 329-6262.
Travis Patrick Martin is licensed to practice in California (license number A184909) 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 1053874305.
Physician's Profile
| Full Name | Travis Patrick Martin |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 1551 Bishop St Ste 210, San Luis Obispo, California |
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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: 1053874305
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729313622
- Enrollment ID: I20210922001156
Medical Identifiers
Medical identifiers for Travis Patrick Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053874305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A184909 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | A184909 (California) | 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. Travis Patrick Martin allows following entities to bill medicare on his behalf.
| Entity Name | Benson Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336118322
PECOS PAC ID: 3274443056
Enrollment ID: O20040109000537 |
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| Entity Name | Sound Physicians Emergency Medicine Of Arizona Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700328663
PECOS PAC ID: 5799066650
Enrollment ID: O20170109000725 |
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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. Travis Patrick 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 |
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Travis Patrick Martin,
736 Buckingham Dr,
Redlands, CA 92374-6421
Ph: (951) 217-1250 | Travis Patrick Martin,
1551 Bishop St Ste 210,
San Luis Obispo, CA 93401-4661
Ph: (805) 329-6262 |
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