Jared Paul Martin, NP in Lake Oswego, OR - Medicare Nurse Practitioner

Jared Paul Martin, NP is a medicare enrolled "Nurse Practitioner - Family" in Lake Oswego, Oregon. His current practice location is 5 Centerpointe Dr Ste 600, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 457-7295.

Jared Paul Martin is licensed to practice in Oregon (license number 201400663NP-PP) 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 1336485259.

Contact Information

	Jared Paul Martin, NP
	5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662
	(503) 457-7295
	(855) 861-6377

Map and Direction

Provider's Profile

Full Name	Jared Paul Martin
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5 Centerpointe Dr Ste 600, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336485259
Provider Enumeration Date: 12/20/2012
Last Update Date: 02/04/2020

Medicare PECOS Information:

PECOS PAC ID: 6305069162
Enrollment ID: I20140528001195

Medical Identifiers

Medical identifiers for Jared Paul Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336485259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201400663NP-PP (Oregon)	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. Jared Paul Martin allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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. Jared Paul 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
Jared Paul Martin, NP 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 Ph: (503) 457-7295	Jared Paul Martin, NP 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 Ph: (503) 457-7295

Reviews and Comments

Nurse Practitioner Nurses in Lake Oswego, OR

Susan Ranae Battle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035 Phone: 541-214-6301 Fax: 855-510-1784
Krisa Fenton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 615-465-9443
Miss Amanda Magdalena Kinder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940
Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355
Tierney Newman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500

Jared Paul Martin, NP - Medicare Nurse Practitioner in Lake Oswego, OR