Mr Guadalupe Martinez, in Seattle, WA - Medicare Physician Assistant

Mr Guadalupe Martinez, is a medicare enrolled "Physician Assistant" in Seattle, Washington. His current practice location is 10521 Meridian Ave N, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 296-4990.

Mr Guadalupe Martinez is licensed to practice in Washington (license number PA61177184) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053970145.

Contact Information

	Mr Guadalupe Martinez,
	10521 Meridian Ave N, Seattle, WA 98133-9509
	(206) 296-4990
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Guadalupe Martinez
Gender	Male
Speciality	Physician Assistant
Location	10521 Meridian Ave N, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053970145
Provider Enumeration Date: 06/11/2019
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5597180059
Enrollment ID: I20240103000517

Medical Identifiers

Medical identifiers for Mr Guadalupe Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053970145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	PA61177184 (Washington)	Primary

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. Mr Guadalupe Martinez 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
Mr Guadalupe Martinez, 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 Ph: (206) 548-7553	Mr Guadalupe Martinez, 10521 Meridian Ave N, Seattle, WA 98133-9509 Ph: (206) 296-4990

Reviews and Comments

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Mr Guadalupe Martinez, - Medicare Physician Assistant in Seattle, WA