Mildred Louise Martin, RN,MSN,MA,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Conroy, South Carolina. She graduated from nursing school in 1985 and has 39 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Coos County Oregon and her current practice location is
164 Waccamaw Medical Park Dr, Conroy, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 347-4888.
Mildred Louise Martin is licensed to practice in South Carolina (license number 17888APRN) 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 1942267703.
Provider's Profile
| Full Name | Mildred Louise Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 39 Years |
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| Location | 164 Waccamaw Medical Park Dr, Conroy, South Carolina |
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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. |
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Medical Education and Training:
- Mildred Louise Martin graduated from nursing school in 1985
NPI Data:
- NPI Number: 1942267703
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 01/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 1052543071
- Enrollment ID: I20210811001722
Medical Identifiers
Medical identifiers for Mildred Louise Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942267703 | NPI | - | NPPES |
| 327877 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 000720 (Nevada) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 17888APRN (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coos County Oregon | 1759353071 | 4 |
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. Mildred Louise Martin allows following entities to bill medicare on her behalf.
| Entity Name | Coos County Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811981053
PECOS PAC ID: 1759353071
Enrollment ID: O20040818001343 |
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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. Mildred Louise 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 |
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Mildred Louise Martin, RN,MSN,MA,PMHNP-BC
164 Waccamaw Medical Park Dr,
Conway, SC 29526-8903
Ph: () - | Mildred Louise Martin, RN,MSN,MA,PMHNP-BC
164 Waccamaw Medical Park Dr,
Conroy, SC 29526
Ph: (843) 347-4888 |
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