Traci Martin, APRN, CNM is a medicare enrolled "Advanced Practice Midwife" in Shenandoah, Texas. Her current practice location is
8845 Six Pines Dr, Shenandoah, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 844-2814.
Traci Martin is licensed to practice in Texas (license number AP130075) 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 1164889010.
Provider's Profile
Full Name | Traci Martin |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 8845 Six Pines Dr, Shenandoah, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164889010
- Provider Enumeration Date: 01/23/2016
- Last Update Date: 02/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 9830537760
- Enrollment ID: I20240410002917
Medical Identifiers
Medical identifiers for Traci Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164889010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | AP130075 (Texas) | 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. Traci Martin allows following entities to bill medicare on her behalf.
Entity Name | Obhg Texas Holdings Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
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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. Traci 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 |
Traci Martin, APRN, CNM 3209 Louis Rd, Crosby, TX 77532-6406 Ph: (281) 844-2814 | Traci Martin, APRN, CNM 8845 Six Pines Dr, Shenandoah, TX 77380-2675 Ph: (281) 844-2814 |
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