Mrs Amy Marie Martin, PMHNP-BC in Louisville, KY

Mrs Amy Marie Martin, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. Her current practice location is 3991 Dutchmans Ln Ste 405, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 899-2673.

Mrs Amy Marie Martin is licensed to practice in Kentucky (license number 3013704) 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 1770130122.

Contact Information

	Mrs Amy Marie Martin, PMHNP-BC
	3991 Dutchmans Ln Ste 405, Louisville, KY 40207-4723
	(502) 899-2673
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amy Marie Martin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3991 Dutchmans Ln Ste 405, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770130122
Provider Enumeration Date: 08/21/2019
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 3779813480
Enrollment ID: I20190924000226

Medical Identifiers

Medical identifiers for Mrs Amy Marie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770130122	NPI	-	NPPES
7100619340	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71011592A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3013704 (Kentucky)	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. Mrs Amy Marie Martin allows following entities to bill medicare on her behalf.

Entity Name	Seven Counties Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034

Entity Name	Norton Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073568879 PECOS PAC ID: 9830001528 Enrollment ID: O20031125000524

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. Mrs Amy Marie 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
Mrs Amy Marie Martin, PMHNP-BC Po Box 776347, Chicago, IL 60677-6347 Ph: (502) 588-9490	Mrs Amy Marie Martin, PMHNP-BC 3991 Dutchmans Ln Ste 405, Louisville, KY 40207-4723 Ph: (502) 899-2673

Reviews and Comments

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Mrs Amy Marie Martin, PMHNP-BC - Medicare Nurse Practitioner in Louisville, KY