Tiffany M Martinez, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pleasant Point, Maine. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Marys Regional Medical Center, Passamaquoddy Tribal Council and her current practice location is
11 Back Rd, Pleasant Point, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 853-0644.
Tiffany M Martinez is licensed to practice in Maine (license number CNP141057) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063813962.
Provider's Profile
| Full Name | Tiffany M Martinez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 11 Back Rd, Pleasant Point, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffany M Martinez graduated from nursing school in 2014
NPI Data:
- NPI Number: 1063813962
- Provider Enumeration Date: 09/10/2014
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345461497
- Enrollment ID: I20141015000863
Medical Identifiers
Medical identifiers for Tiffany M Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063813962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SC1501X | Clinical Nurse Specialist - Community Health/public Health | CNP141057 (Maine) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP141057 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Marys Regional Medical Center | 0042107120 | 186 |
| Passamaquoddy Tribal Council | 0244252831 | 9 |
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. Tiffany M Martinez allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447226584
PECOS PAC ID: 0042107120
Enrollment ID: O20040303000236 |
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| Entity Name | Community Clinical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164477568
PECOS PAC ID: 0042101099
Enrollment ID: O20040513000884 |
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| Entity Name | Mainehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166 |
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| Entity Name | Passamaquoddy Tribal Council |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760474613
PECOS PAC ID: 0244252831
Enrollment ID: O20121127000268 |
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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. Tiffany M 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 |
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Tiffany M Martinez, PMHNP
11 Back Rd,
Pleasant Point, ME 04667-4119
Ph: (207) 853-0644 | Tiffany M Martinez, PMHNP
11 Back Rd,
Pleasant Point, ME 04667-4119
Ph: (207) 853-0644 |
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