Mrs Shelley Deanna Martin, CRNP- FAMILY in Brandywine, MD

Mrs Shelley Deanna Martin, CRNP- FAMILY is a medicare enrolled "Nurse Practitioner - Family" in Brandywine, Maryland. Her current practice location is 7450 Albert Rd, Brandywine, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 599-0460.

Mrs Shelley Deanna Martin is licensed to practice in Maryland (license number R139536) 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 1073236774.

Contact Information

	Mrs Shelley Deanna Martin, CRNP- FAMILY
	7450 Albert Rd, Brandywine, MD 20613-3035
	(301) 599-0460
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shelley Deanna Martin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7450 Albert Rd, Brandywine, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073236774
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2264804376
Enrollment ID: I20230217000329

Medical Identifiers

Medical identifiers for Mrs Shelley Deanna Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073236774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R139536 (Maryland)	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 Shelley Deanna Martin allows following entities to bill medicare on her behalf.

Entity Name	Medstar Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902175870 PECOS PAC ID: 9335303155 Enrollment ID: O20120607000236

Entity Name	Greater Baden Medical Service Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20221202000091

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 Shelley Deanna 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 Shelley Deanna Martin, CRNP- FAMILY 11214 Mattaponi Rd, Upper Marlboro, MD 20772-8211 Ph: (703) 477-9031	Mrs Shelley Deanna Martin, CRNP- FAMILY 7450 Albert Rd, Brandywine, MD 20613-3035 Ph: (301) 599-0460

Reviews and Comments

Nurse Practitioner Nurses in Brandywine, MD

Ozichukwu Awusah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8204 Owens Way, Brandywine, MD 20613 Phone: 254-462-2546
Ms. Donna Mcconathy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Albert Rd Fl 2, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-888-9133
Mutiat O. Popoola, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15518 Kennett Square Way, Brandywine, MD 20613 Phone: 240-988-3779
Tamika Maxwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 110, Brandywine, MD 20613 Phone: 301-242-5699 Fax: 301-782-2221
Ms. Latoya Belton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13201 Hampton Farm Ln, Brandywine, MD 20613 Phone: 703-853-4932
Margaret Derosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 200, Brandywine, MD 20613 Phone: 301-812-3900

Mrs Shelley Deanna Martin, CRNP- FAMILY - Medicare Nurse Practitioner in Brandywine, MD