Nicole L Martin, APRN in Southbury, CT - Medicare Nurse Practitioner

Nicole L Martin, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Southbury, Connecticut. Her current practice location is 30 Quaker Farms Rd Ste 1, Southbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 262-9300.

Nicole L Martin is licensed to practice in Connecticut (license number 11199) 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 1154092344.

Contact Information

	Nicole L Martin, APRN
	30 Quaker Farms Rd Ste 1, Southbury, CT 06488-2732
	(203) 262-9300
	(203) 264-2696

Map and Direction

Provider's Profile

Full Name	Nicole L Martin
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	30 Quaker Farms Rd Ste 1, Southbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154092344
Provider Enumeration Date: 09/27/2021
Last Update Date: 11/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0547639155
Enrollment ID: I20221202001794

Medical Identifiers

Medical identifiers for Nicole L Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154092344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	11199 (Connecticut)	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. Nicole L Martin allows following entities to bill medicare on her behalf.

Entity Name	Griffin Faculty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158

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. Nicole L 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
Nicole L Martin, APRN 67 Maple Ave, Derby, CT 06418-1328 Ph: () -	Nicole L Martin, APRN 30 Quaker Farms Rd Ste 1, Southbury, CT 06488-2732 Ph: (203) 262-9300

Reviews and Comments

Nurse Practitioner Nurses in Southbury, CT

Reba Goodrow, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pomperaug Office Park Ste 102&103, Southbury, CT 06488 Phone: 203-558-1143
Mrs. Kelli Ann Bernier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Pomperaug Office Park Ste 102, Southbury, CT 06488 Phone: 203-558-1143
Ms. Gerde B Francklin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 Phone: 203-262-4200
Ceri England Burke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Depot Hill Rd, Southbury, CT 06488 Phone: 866-389-2727
Dr. Catherine G Winkler, PHD, MPH, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 203-262-4200 Fax: 203-264-1534
Katelyn Elaine Reynolds, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Old Waterbury Rd, Southbury, CT 06488 Phone: 475-289-4827

Nicole L Martin, APRN - Medicare Nurse Practitioner in Southbury, CT