Kerry Anne Martin, FNP in Canton, GA - Medicare Nurse Practitioner

Kerry Anne Martin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Georgia. Her current practice location is 470 Northside Cherokee Blvd Ste 490, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 538-2168.

Kerry Anne Martin is licensed to practice in Georgia (license number RN239709) 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 1063078186.

Contact Information

	Kerry Anne Martin, FNP
	470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033
	(678) 538-2168
	Not Available

Map and Direction

Provider's Profile

Full Name	Kerry Anne Martin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	470 Northside Cherokee Blvd Ste 490, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063078186
Provider Enumeration Date: 05/14/2019
Last Update Date: 10/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9739555954
Enrollment ID: I20221013000228

Medical Identifiers

Medical identifiers for Kerry Anne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063078186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN239709 (Georgia)	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. Kerry Anne Martin allows following entities to bill medicare on her behalf.

Entity Name	Laureate Medical Group At Northside, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811037336 PECOS PAC ID: 2668458530 Enrollment ID: O20040629001613

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. Kerry Anne 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
Kerry Anne Martin, FNP 6600 Peachtree Dunwoody Rd Ste 325, Atlanta, GA 30328-6773 Ph: (404) 256-8500	Kerry Anne Martin, FNP 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 Ph: (678) 538-2168

Reviews and Comments

Nurse Practitioner Nurses in Canton, GA

Mrs. Holly Allen, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115 Phone: 770-292-3490 Fax: 770-721-5615
Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114 Phone: 770-704-6988 Fax: 770-720-8775
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Kelly Marie Shirley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 Phone: 770-224-1400

Kerry Anne Martin, FNP - Medicare Nurse Practitioner in Canton, GA