Jacqueline C Martin, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kensington, Connecticut. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Paragon Behavioral Health, Llc and her current practice location is
26 Chamberlain Hwy, Kensington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 893-0040.
Jacqueline C Martin is licensed to practice in Connecticut (license number 005215) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306180542.
Provider's Profile
Full Name | Jacqueline C Martin |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Experience | 12 Years |
---|
Location | 26 Chamberlain Hwy, Kensington, Connecticut |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline C Martin graduated from nursing school in 2012
NPI Data:
- NPI Number: 1306180542
- Provider Enumeration Date: 11/10/2012
- Last Update Date: 05/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830342476
- Enrollment ID: I20130110000527
Medical Identifiers
Medical identifiers for Jacqueline C Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306180542 | NPI | - | NPPES |
008042980 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 005215 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Paragon Behavioral Health, Llc | 1850301508 | 9 |
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. Jacqueline C Martin allows following entities to bill medicare on her behalf.
Entity Name | Paragon Behavioral Health, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1972620961 PECOS PAC ID: 1850301508 Enrollment ID: O20060426000398 |
---|
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. Jacqueline C 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 |
Jacqueline C Martin, APRN 26 Chamberlain Hwy, Kensington, CT 06037-1921 Ph: (860) 893-0040 | Jacqueline C Martin, APRN 26 Chamberlain Hwy, Kensington, CT 06037-1921 Ph: (860) 893-0040 |
Reviews and Comments