Autumn Marie Martin, MS,FNP is a medicare enrolled "Nurse Practitioner - Family" in Julesburg, Colorado. Her current practice location is
900 Cedar St, Julesburg, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 353-9403.
Autumn Marie Martin is licensed to practice in Colorado (license number NP10050) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598995417.
Provider's Profile
| Full Name | Autumn Marie Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 900 Cedar St, Julesburg, Colorado |
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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: 1598995417
- Provider Enumeration Date: 07/27/2009
- Last Update Date: 05/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850577412
- Enrollment ID: I20110516000464
Medical Identifiers
Medical identifiers for Autumn Marie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598995417 | NPI | - | NPPES |
| 84427060 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP10050 (Colorado) | 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. Autumn Marie Martin allows following entities to bill medicare on her behalf.
| Entity Name | Sedgwick County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881602738
PECOS PAC ID: 1052201100
Enrollment ID: O20040326000232 |
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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. Autumn Marie 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 |
|---|
Autumn Marie Martin, MS,FNP
900 Cedar St,
Julesburg, CO 80737-1121
Ph: (970) 353-9403 | Autumn Marie Martin, MS,FNP
900 Cedar St,
Julesburg, CO 80737-1121
Ph: (970) 353-9403 |
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