Mr Jeffrey Edward Martin, CRNA in Palatka, FL - Medicare Nurse Anesthetist, Certified Registered

Mr Jeffrey Edward Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palatka, Florida. His current practice location is 611 Zeagler Dr, Palatka, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 328-5711.

Mr Jeffrey Edward Martin is licensed to practice in Florida (license number APRN9223834) 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 1639180409.

Contact Information

	Mr Jeffrey Edward Martin, CRNA
	611 Zeagler Dr, Palatka, FL 32177-3810
	(386) 328-5711
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Edward Martin
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	611 Zeagler Dr, Palatka, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639180409
Provider Enumeration Date: 08/10/2006
Last Update Date: 08/26/2019

Medicare PECOS Information:

PECOS PAC ID: 2163479692
Enrollment ID: I20190624002935

Medical Identifiers

Medical identifiers for Mr Jeffrey Edward Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639180409	NPI	-	NPPES
5Y758	Other	AR	BC/BS AR
200075140A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R0084629 (Oklahoma)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9223834 (Florida)	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. Mr Jeffrey Edward Martin allows following entities to bill medicare on his behalf.

Entity Name	Sentry Anesthesia Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571

Entity Name	Anesthesia Care Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20151103001846

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 Jeffrey Edward 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
Mr Jeffrey Edward Martin, CRNA Rr 1 Box 475, Idabel, OK 74745-9766 Ph: (580) 245-1182	Mr Jeffrey Edward Martin, CRNA 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 328-5711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Palatka, FL

Katherine Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711
Marty Mccullough, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-7865
John T Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Highway 16, Palatka, FL 32178 Phone: 386-326-7850
Mr. Vincent Demond Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 904-382-8247
Paula B. Fuller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-8080
Rosalie J. Milano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711

Mr Jeffrey Edward Martin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Palatka, FL