Quinita Shantell Martin, NP in Lithonia, GA - Medicare Nurse Practitioner

Quinita Shantell Martin, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lithonia, Georgia. Her current practice location is 4178 Sawgrass Dr, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 578-2795.

Quinita Shantell Martin is licensed to practice in Georgia (license number RN265452) 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 1922858927.

Contact Information

	Quinita Shantell Martin, NP
	4178 Sawgrass Dr, Lithonia, GA 30038-1255
	(404) 578-2795
	Not Available

Map and Direction

Provider's Profile

Full Name	Quinita Shantell Martin
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4178 Sawgrass Dr, Lithonia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922858927
Provider Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5890227623
Enrollment ID: I20241017000748

Medical Identifiers

Medical identifiers for Quinita Shantell Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922858927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN265452 (Georgia)	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. Quinita Shantell Martin allows following entities to bill medicare on her behalf.

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

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. Quinita Shantell 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
Quinita Shantell Martin, NP 4178 Sawgrass Dr, Lithonia, GA 30038-1255 Ph: (404) 578-2795	Quinita Shantell Martin, NP 4178 Sawgrass Dr, Lithonia, GA 30038-1255 Ph: (404) 578-2795

Reviews and Comments

Nurse Practitioner Nurses in Lithonia, GA

Agnes P Oyewo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058 Phone: 770-322-2777 Fax: 678-610-6025
Ms. Tonecesa Burtton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6231 Waterton Way, Lithonia, GA 30058 Phone: 770-462-9202
Ms. Abisola A Ajayi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058 Phone: 770-981-5431 Fax: 770-981-5515
Lenice Murdock-cohen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038 Phone: 404-444-0649
Glory Abuajah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 Phone: 404-501-8460
Mr. Simon Njelefack Ekokobe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Alice Ave, Lithonia, GA 30058 Phone: 404-314-0776
Mrs. Lisa Marie Rose-cantrell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058 Phone: 770-322-3216 Fax: 770-938-1759

Quinita Shantell Martin, NP - Medicare Nurse Practitioner in Lithonia, GA