Mrs Regina Suzanne Martin, APRN, CNM is a medicare enrolled "Advanced Practice Midwife" in Orrville, Ohio. Her current practice location is
830 S Main St, Orrville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 684-4797.
Mrs Regina Suzanne Martin is licensed to practice in Ohio (license number APRN.CNM.019401) 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 1689234148.
Provider's Profile
| Full Name | Mrs Regina Suzanne Martin |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 830 S Main St, Orrville, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1689234148
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 06/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688904642
- Enrollment ID: I20190918001647
Medical Identifiers
Medical identifiers for Mrs Regina Suzanne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689234148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | APRN.CNM.019401 (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 Regina Suzanne Martin allows following entities to bill medicare on her behalf.
| Entity Name | Summa Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295 |
|---|
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 Regina Suzanne 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 Regina Suzanne Martin, APRN, CNM
4264 Hilltop Dr,
Coventry Township, OH 44203-4813
Ph: (330) 472-2650 | Mrs Regina Suzanne Martin, APRN, CNM
830 S Main St,
Orrville, OH 44667-2291
Ph: (330) 684-4797 |
Reviews and Comments