Staci Dawn Martin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Canton, OH

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Staci Dawn Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Ohio. Her current practice location is 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 363-7462.

Staci Dawn Martin is licensed to practice in Ohio (license number COA08483NA) 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 1386694669.

Contact Information

Staci Dawn Martin, CRNA
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp,
Canton, OH 44710
(330) 363-7462
(330) 363-7679

Map and Direction




Provider's Profile

Full NameStaci Dawn Martin
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2600 Sixth Street Sw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386694669
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688686702
  • Enrollment ID: I20060607000303

Medical Identifiers

Medical identifiers for Staci Dawn Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386694669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered COA08483NA (Ohio)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. Staci Dawn Martin allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Care Of Union Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083688220
PECOS PAC ID: 0244124642
Enrollment ID: O20040209000281
Entity NameThe Gastroenterology Clinic & Endoscopy Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952497117
PECOS PAC ID: 3274429477
Enrollment ID: O20040225000211
Entity NameOhio Hospital-based Physicians Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891727079
PECOS PAC ID: 9133019110
Enrollment ID: O20040316000515
Entity NameGastroenterology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184779639
PECOS PAC ID: 6507890241
Enrollment ID: O20050922000530
Entity NameC S Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912923343
PECOS PAC ID: 3678583549
Enrollment ID: O20060424000178
Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069
Entity NameNorthstar Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005
Entity NameWooster Pain And Anesthesia Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616947
PECOS PAC ID: 1557500782
Enrollment ID: O20130620000172
Entity NamePremier Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267
Entity NameAultman Deuble Heart & Vascular Hospital, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306495718
PECOS PAC ID: 1850726126
Enrollment ID: O20200114002347
Entity NameAnesthesia Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679290019
PECOS PAC ID: 3971971060
Enrollment ID: O20221121002734

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. Staci Dawn 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
Staci Dawn Martin, CRNA
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp,
Canton, OH 44710

Ph: (330) 363-7462		Staci Dawn Martin, CRNA
2600 Sixth Street Sw, Ohio Hospital Based Physician Corp,
Canton, OH 44710

Ph: (330) 363-7462

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Canton, OH

Sarah Gomez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4665 Douglas Cir Nw, Canton, OH 44718
Phone: 330-499-5700    
Roxie Lee Rush, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710
Phone: 330-363-7462    Fax: 330-363-7679
Mr. Kevin White, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-7462    Fax: 330-363-7679
Amanda G Gillis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4665 Douglas Cir Nw, #100, Canton, OH 44718
Phone: 330-499-5700    Fax: 330-498-4229
Arlene Ann Weeber, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2600 6th St Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710
Phone: 330-363-7462    Fax: 330-363-7679
Sheree Boyle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-7462    Fax: 330-363-7679
Lois R Milosevic, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1111    

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.