Martha E Cousins, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Mohawk, Tennessee. Her current practice location is
481 Concord Rd, Mohawk, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 823-0517.
Martha E Cousins is licensed to practice in Tennessee (license number 14203) 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 1598098618.
Provider's Profile
| Full Name | Martha E Cousins |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 481 Concord Rd, Mohawk, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598098618
- Provider Enumeration Date: 09/08/2009
- Last Update Date: 04/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688711682
- Enrollment ID: I20170911000330
Medical Identifiers
Medical identifiers for Martha E Cousins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598098618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 14203 (Tennessee) | 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. Martha E Cousins allows following entities to bill medicare on her behalf.
| Entity Name | Brewton Medical Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336196856
PECOS PAC ID: 1759359748
Enrollment ID: O20040917000687 |
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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. Martha E Cousins 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 |
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Martha E Cousins, NP
481 Concord Rd,
Mohawk, TN 37810-5612
Ph: (423) 823-0517 | Martha E Cousins, NP
481 Concord Rd,
Mohawk, TN 37810-5612
Ph: (423) 823-0517 |
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