Trina Patenaude Martin, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salem, Connecticut. Her current practice location is
17 Salem Hollow Ln, Salem, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(518) 598-5220.
Trina Patenaude Martin is licensed to practice in Connecticut (license number 6394) 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 1942665443.
Provider's Profile
Full Name | Trina Patenaude Martin |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 17 Salem Hollow Ln, Salem, Connecticut |
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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: 1942665443
- Provider Enumeration Date: 12/28/2015
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466750955
- Enrollment ID: I20160418000533
Medical Identifiers
Medical identifiers for Trina Patenaude Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942665443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 6394 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6394 (Connecticut) | 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. Trina Patenaude Martin allows following entities to bill medicare on her behalf.
Entity Name | Practitioner Support Services Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114115706 PECOS PAC ID: 3375596984 Enrollment ID: O20050223000656 |
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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. Trina Patenaude 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 |
Trina Patenaude Martin, APRN 9 Dundee Rd, Stamford, CT 06903-3611 Ph: (518) 598-7320 | Trina Patenaude Martin, APRN 17 Salem Hollow Ln, Salem, CT 06420-4046 Ph: (518) 598-5220 |
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