Kathleen Martin, FNP is a medicare enrolled "Nurse Practitioner" in Wyoming, Illinois. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proctor Health Systems and her current practice location is
101 S Galena Ave, Wyoming, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 695-6448.
Kathleen Martin is licensed to practice in Illinois (license number 209004444) 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 1669422135.
Provider's Profile
Full Name | Kathleen Martin |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 22 Years |
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Location | 101 S Galena Ave, Wyoming, Illinois |
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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:
- Kathleen Martin graduated from nursing school in 2002
NPI Data:
- NPI Number: 1669422135
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 10/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466430467
- Enrollment ID: I20040707001289
Medical Identifiers
Medical identifiers for Kathleen Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669422135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 209004444 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Proctor Health Systems | 3476440173 | 124 |
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. Kathleen Martin allows following entities to bill medicare on her behalf.
Entity Name | Proctor Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
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Entity Name | Methodist Medical Center Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
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Entity Name | Proctor Health Systems |
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Entity Type | Part A Provider - Rural Health Clinic |
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Entity Identifiers | NPI Number: 1477269421 PECOS PAC ID: 3476440173 Enrollment ID: O20230314002048 |
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Entity Name | Proctor Health Systems |
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Entity Type | Part A Provider - Rural Health Clinic |
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Entity Identifiers | NPI Number: 1356057301 PECOS PAC ID: 3476440173 Enrollment ID: O20230426002776 |
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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. Kathleen 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 |
Kathleen Martin, FNP 101 S Galena Ave, Wyoming, IL 61491-1470 Ph: (309) 695-6448 | Kathleen Martin, FNP 101 S Galena Ave, Wyoming, IL 61491-1470 Ph: (309) 695-6448 |
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