Mallory B Martin, NP in Edmond, OK - Medicare Nurse Practitioner

Mallory B Martin, NP is a medicare enrolled "Nurse Practitioner - Family" in Edmond, Oklahoma. She went to University Of South Alabama College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lykos Medical Llc, Legacy Healthcare Services Inc and her current practice location is 2417 Nw 174th St, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 255-6706.

Mallory B Martin is licensed to practice in Colorado (license number 1257) 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 1073154787.

Contact Information

	Mallory B Martin, NP
	2417 Nw 174th St, Edmond, OK 73012-7108
	(405) 255-6706
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory B Martin
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2417 Nw 174th St, Edmond, Oklahoma
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:

Mallory B Martin attended and graduated from University Of South Alabama College Of Medicine in 2019

NPI Data:

NPI Number: 1073154787
Provider Enumeration Date: 10/03/2019
Last Update Date: 03/16/2021

Medicare PECOS Information:

PECOS PAC ID: 9830518281
Enrollment ID: I20210322002500

Medical Identifiers

Medical identifiers for Mallory B Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073154787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	113578 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	1257 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lykos Medical Llc	0941558035	9
Legacy Healthcare Services Inc	2163339722	3341

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. Mallory B Martin allows following entities to bill medicare on her behalf.

Entity Name	Lykos Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215423124 PECOS PAC ID: 0941558035 Enrollment ID: O20180806003125

Entity Name	Mws Wound Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184482952 PECOS PAC ID: 2567801541 Enrollment ID: O20240424000556

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. Mallory B 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
Mallory B Martin, NP 7610 N Union Blvd Ste 150, Colorado Springs, CO 80920-3800 Ph: (719) 434-8810	Mallory B Martin, NP 2417 Nw 174th St, Edmond, OK 73012-7108 Ph: (405) 255-6706

Reviews and Comments

Nurse Practitioner Nurses in Edmond, OK

Michelle Kathleen Merrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 S. Blvd,, Edmond, OK 73013 Phone: 405-905-9888
Catherine Marie Kindt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2177 Venezia Cir, Edmond, OK 73034 Phone: 580-695-1605
Breanne Kali Flusche, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 405-578-9818
Karyl S. Knopps, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101
Lisa Louise Spence, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Bryant Ave, Edmond, OK 73013 Phone: 405-348-7982
Kelli Rebecca Lawrence, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 833-941-1685

Mallory B Martin, NP - Medicare Nurse Practitioner in Edmond, OK