Brent A Martin, APNP - Medicare Nurse Practitioner in Appleton, WI

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Brent A Martin, APNP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. His current practice location is 2809 N Park Drive Ln, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 380-4999.

Brent A Martin is licensed to practice in Wisconsin (license number 8290) 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 1265940365.

Contact Information

Brent A Martin, APNP
2809 N Park Drive Ln,
Appleton, WI 54911-1603
(920) 380-4999
(920) 380-4961

Map and Direction




Provider's Profile

Full NameBrent A Martin
GenderMale
SpecialityNurse Practitioner - Family
Location2809 N Park Drive Ln, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265940365
  • Provider Enumeration Date: 01/11/2018
  • Last Update Date: 03/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7810243052
  • Enrollment ID: I20180702001482

Medical Identifiers

Medical identifiers for Brent A Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265940365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201119 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 8290 (Wisconsin)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. Brent A Martin allows following entities to bill medicare on his behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Medical Center - Berlin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064
Entity NameThedacare Regional Medical Center-neenah Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518993880
PECOS PAC ID: 8921090846
Enrollment ID: O20040401000148

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. Brent A 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 AddressPractice Location Address
Brent A Martin, APNP
122 E College Ave,
Appleton, WI 54911-5794

Ph: (920) 996-3264		Brent A Martin, APNP
2809 N Park Drive Ln,
Appleton, WI 54911-1603

Ph: (920) 380-4999

Reviews and Comments


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
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Phone: 920-731-8900    
Dessia J Laxton, APNP
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Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
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Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Ingrid K Simpson, FNP-BC
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Practice Location: 2400 E Capitol Dr, Appleton, WI 54911
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Lisa Valiquette, NP
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Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
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Kimberly A Romenesko, APNP
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Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
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Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.