Staci Lynn Martinez, in Colton, CA - Medicare Nurse Anesthetist, Certified Registered

Staci Lynn Martinez, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. Her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-1000.

Staci Lynn Martinez is licensed to practice in California (license number 95002202) 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 1790490936.

Contact Information

	Staci Lynn Martinez,
	400 N Pepper Ave, Colton, CA 92324-1819
	(909) 580-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Staci Lynn Martinez
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790490936
Provider Enumeration Date: 01/23/2023
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7810343001
Enrollment ID: I20231024002822

Medical Identifiers

Medical identifiers for Staci Lynn Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790490936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95321628 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95002202 (California)	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 Lynn Martinez allows following entities to bill medicare on her behalf.

Entity Name	Inland Empire Anesthesia Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861502841 PECOS PAC ID: 1052310331 Enrollment ID: O20061214000268

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 Lynn Martinez 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
Staci Lynn Martinez, 27258 Red Willow Ct, Valencia, CA 91381-2171 Ph: (310) 433-3324	Staci Lynn Martinez, 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324 Phone: 909-580-2440

Staci Lynn Martinez, - Medicare Nurse Anesthetist, Certified Registered in Colton, CA