Katelyn Rose Martin, PA is a medicare enrolled "Physician Assistant - Medical" in Freeburg, Illinois. Her current practice location is
251 Marketplace Dr # 1, Freeburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 539-0067.
Katelyn Rose Martin is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588145601.
Provider's Profile
Full Name | Katelyn Rose Martin |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 251 Marketplace Dr # 1, Freeburg, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588145601
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800136763
- Enrollment ID: I20190313000873
Medical Identifiers
Medical identifiers for Katelyn Rose Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588145601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Katelyn Rose 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 |
Katelyn Rose Martin, PA 3708 Round Hill Rd Apt 11, Swansea, IL 62226-1221 Ph: () - | Katelyn Rose Martin, PA 251 Marketplace Dr # 1, Freeburg, IL 62243-4082 Ph: (618) 539-0067 |
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