Ms Denise Martinez, CRNP - Medicare Nurse Practitioner in Allentown, PA

Ms Denise Martinez, CRNP is a medicare enrolled "Nurse Practitioner" in Allentown, Pennsylvania. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is 5018 Medical Center Cir, Suite 240, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 876-5649.

Ms Denise Martinez is licensed to practice in Pennsylvania (license number SP012316) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225380447.

Contact Information

Ms Denise Martinez, CRNP
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661
(484) 876-5649
Not Available

Map and Direction




Provider's Profile

Full NameMs Denise Martinez
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location5018 Medical Center Cir, Allentown, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Denise Martinez graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1225380447
  • Provider Enumeration Date: 10/11/2012
  • Last Update Date: 11/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1850544412
  • Enrollment ID: I20130109000597

Medical Identifiers

Medical identifiers for Ms Denise Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225380447NPI-NPPES
103181145 0001MedicaidPA
261399FRHOtherPAMEDICARE PTAN
50113665OtherPACAPITAL BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP012316 (Pennsylvania)Primary
363LA2100XNurse Practitioner - Acute Care SP012316 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Hospital BethlehemBethlehem, PAHospital
St Luke's Hospital - Anderson CampusEaston, PAHospital
St Luke's Hospital - Monroe CampusStroudsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331727

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. Ms Denise Martinez allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

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. Ms Denise Martinez 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 AddressPractice Location Address
Ms Denise Martinez, CRNP
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661

Ph: (484) 876-5649
Ms Denise Martinez, CRNP
5018 Medical Center Cir, Suite 240,
Allentown, PA 18106-9661

Ph: (484) 876-5649

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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