Ms Jelesa Shaneice Martin, NP - Medicare Nurse Practitioner in Jasper, AL

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Ms Jelesa Shaneice Martin, NP is a medicare enrolled "Nurse Practitioner" in Jasper, Alabama. Her current practice location is 907 11th St Ne, Jasper, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 221-9111.

Ms Jelesa Shaneice Martin is licensed to practice in Alabama (license number 1-131026) 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 1922423326.

Contact Information

Ms Jelesa Shaneice Martin, NP
907 11th St Ne,
Jasper, AL 35504-8821
(205) 221-9111
Not Available

Map and Direction




Provider's Profile

Full NameMs Jelesa Shaneice Martin
GenderFemale
SpecialityNurse Practitioner
Location907 11th St Ne, Jasper, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922423326
  • Provider Enumeration Date: 02/22/2014
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648528331
  • Enrollment ID: I20180813003175

Medical Identifiers

Medical identifiers for Ms Jelesa Shaneice Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922423326NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-131026 (Alabama)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. Ms Jelesa Shaneice Martin allows following entities to bill medicare on her behalf.
Entity NameQuality Of Life Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447200977
PECOS PAC ID: 7810890902
Enrollment ID: O20040324000006
Entity NameCurana Health Of Alabama Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144450347
PECOS PAC ID: 2264681220
Enrollment ID: O20121008000018
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210224000756

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 Jelesa Shaneice 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 AddressPractice Location Address
Ms Jelesa Shaneice Martin, NP
1509 Dulles Dr,
Lafayette, LA 70506-3718

Ph: (337) 991-9276		Ms Jelesa Shaneice Martin, NP
907 11th St Ne,
Jasper, AL 35504-8821

Ph: (205) 221-9111

Reviews and Comments


Nurse Practitioner Nurses in Jasper, AL

Tiffany Tolliver,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 508 Deer Ridge Run, Jasper, AL 35503
Phone: 606-302-1233    
Larissa Robinson, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2201 N Airport Rd, Jasper, AL 35504
Phone: 205-221-9351    Fax: 205-221-3700
Charity Lomneck, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20 Medical Center Dr, Jasper, AL 35501
Phone: 205-544-2243    Fax: 205-301-2414
Mrs. Cassie Wells, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2201 N Airport Rd, Jasper, AL 35504
Phone: 205-221-9351    Fax: 205-221-4353
Mrs. Kayla Michele Tucker, MNS, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 304 Blackwell Dairy Rd, Jasper, AL 35504
Phone: 205-544-9612    
Mrs. Angela Kuykendall, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Highway 78 W, Jasper, AL 35501
Phone: 205-387-2253    
Samuel Jacob Hood, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2201 N Airport Rd, Jasper, AL 35504
Phone: 205-221-9351    Fax: 205-221-4353

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.