Mrs Nicole Martin, CNP is a medicare enrolled "Nurse Practitioner - Family" in Pandora, Ohio. Her current practice location is
202 Hilty Dr, Pandora, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 384-3251.
Mrs Nicole Martin is licensed to practice in Ohio (license number APRN.CNP.0030846) 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 1013662840.
Provider's Profile
| Full Name | Mrs Nicole Martin |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 202 Hilty Dr, Pandora, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1013662840
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345617155
- Enrollment ID: I20221108002934
Medical Identifiers
Medical identifiers for Mrs Nicole Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013662840 | NPI | - | NPPES |
| APRN.CNP.0030846 | Other | OH | BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030846 (Ohio) | 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 Nicole Martin allows following entities to bill medicare on her behalf.
| Entity Name | Blanchard Valley Medical Practice Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962501627
PECOS PAC ID: 9234168147
Enrollment ID: O20050811000177 |
|---|
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 Nicole 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 Nicole Martin, CNP
202 Hilty Dr,
Pandora, OH 45877-9478
Ph: (418) 384-3251 | Mrs Nicole Martin, CNP
202 Hilty Dr,
Pandora, OH 45877-9478
Ph: (419) 384-3251 |
Reviews and Comments