Ivan Martinez, in Van Nuys, CA - Medicare Nurse Practitioner

Ivan Martinez, is a medicare enrolled "Nurse Practitioner - Family" in Van Nuys, California. His current practice location is 14550 Haynes St, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at (818) 650-6700.

Ivan Martinez is licensed to practice in California (license number NP95028518) 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 1467212357.

Contact Information

	Ivan Martinez,
	14550 Haynes St, Van Nuys, CA 91411-1613
	(818) 650-6700
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivan Martinez
Gender	Male
Speciality	Nurse Practitioner - Family
Location	14550 Haynes St, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467212357
Provider Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7315386406
Enrollment ID: I20240423000993

Medical Identifiers

Medical identifiers for Ivan Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467212357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95028518 (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. Ivan Martinez allows following entities to bill medicare on his behalf.

Entity Name	Southern California Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225357114 PECOS PAC ID: 2769666817 Enrollment ID: O20110607000460

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. Ivan Martinez 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
Ivan Martinez, 14550 Haynes St, Van Nuys, CA 91411-1613 Ph: (818) 650-6700	Ivan Martinez, 14550 Haynes St, Van Nuys, CA 91411-1613 Ph: (818) 650-6700

Reviews and Comments

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Ms. Deniece Faith Sarmiento, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7100 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-786-8601
Galina Rovensky, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7646 Densmore Ave, Van Nuys, CA 91406 Phone: 818-994-0804
Nelli Berberyan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14411 Hamlin St, Van Nuys, CA 91401 Phone: 818-994-0616

Ivan Martinez, - Medicare Nurse Practitioner in Van Nuys, CA