Jacob G Martin, CRNA in Charleston, SC - Medicare Nurse Anesthetist, Certified Registered

Jacob G Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Jacob G Martin is licensed to practice in South Carolina (license number 27038) 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 1396459319.

Contact Information

	Jacob G Martin, CRNA
	171 Ashley Ave, Charleston, SC 29425-8908
	(843) 792-1414
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob G Martin
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396459319
Provider Enumeration Date: 01/13/2023
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7012381007
Enrollment ID: I20230314001681

Medical Identifiers

Medical identifiers for Jacob G Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396459319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	27038 (South Carolina)	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. Jacob G Martin allows following entities to bill medicare on his behalf.

Entity Name	Medical University Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Jacob G 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
Jacob G Martin, CRNA Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Jacob G Martin, CRNA 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charleston, SC

Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Rebecca Leeann Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547
Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564
Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746
Mrs. Tammie Ann Stahl, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833
Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414

Jacob G Martin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charleston, SC