Samantha Jo Martin, AGACNP-BC in Greenwood, IN

Samantha Jo Martin, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Greenwood, Indiana. Her current practice location is 701 E County Line Rd Ste 101, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 363-1316.

Samantha Jo Martin is licensed to practice in Indiana (license number 71014072A) 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 1871291930.

Contact Information

	Samantha Jo Martin, AGACNP-BC
	701 E County Line Rd Ste 101, Greenwood, IN 46143-1070
	(317) 363-1316
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Jo Martin
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	701 E County Line Rd Ste 101, Greenwood, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871291930
Provider Enumeration Date: 02/20/2023
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678936705
Enrollment ID: I20230823000246

Medical Identifiers

Medical identifiers for Samantha Jo Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871291930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71014072A (Indiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	71014072A (Indiana)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	71014072A (Indiana)	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. Samantha Jo Martin allows following entities to bill medicare on her behalf.

Entity Name	Indiana Internal Medicine Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609834357 PECOS PAC ID: 7911899489 Enrollment ID: O20040329000685

Entity Name	St Francis Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467693135 PECOS PAC ID: 7012067697 Enrollment ID: O20090603000310

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. Samantha Jo 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
Samantha Jo Martin, AGACNP-BC 701 E County Line Rd Ste 101, Greenwood, IN 46143-1070 Ph: (317) 885-2860	Samantha Jo Martin, AGACNP-BC 701 E County Line Rd Ste 101, Greenwood, IN 46143-1070 Ph: (317) 363-1316

Reviews and Comments

Nurse Practitioner Nurses in Greenwood, IN

Marilyn Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2867 Bloomsbury S, Greenwood, IN 46143 Phone: 317-402-6341
Patricia Justine Irvin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Us Highway 31 S, Greenwood, IN 46143 Phone: 317-883-0567
Laura Walradth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143 Phone: 317-781-7188 Fax: 317-781-7140
Meagan Lee Mcdurfee, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 Endress Pl Suite A, Greenwood, IN 46143 Phone: 317-530-1811 Fax: 317-963-1621
Haleigh Ann Tharp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334
Hannah E Mason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E County Line Rd, Suite 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869
Mrs. Cassie A Himes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1703 W Stones Crossing Rd Ste 310, Greenwood, IN 46143 Phone: 317-887-6060 Fax: 317-859-5944

Samantha Jo Martin, AGACNP-BC - Medicare Nurse Practitioner in Greenwood, IN