Beanna Martinez, OTR in Jackson, MI - Medicare Occupational Therapist Provider

Beanna Martinez, OTR is a medicare enrolled "Occupational Therapist" provider in Jackson, Michigan. Her current practice location is 1200 N West Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 789-1234.

Beanna Martinez is licensed to practice in Michigan (license number 5201006007) 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 1063553212.

Contact Information

	Beanna Martinez, OTR
	1200 N West Ave, Jackson, MI 49202-2179
	(517) 789-1234
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Beanna Martinez
Gender	Female
Speciality	Occupational Therapist
Location	1200 N West Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063553212
Provider Enumeration Date: 02/09/2007
Last Update Date: 01/03/2019

Medicare PECOS Information:

PECOS PAC ID: 8022415363
Enrollment ID: I20210929000834

Medical Identifiers

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

Identifier	Type	State	Issuer
1063553212	NPI	-	NPPES
5201006007	Other	MI	OCCUPATIONAL THERAPY LICESENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC009433 (Pennsylvania)	Secondary
225X00000X	Occupational Therapist	5201006007 (Michigan)	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. Beanna Martinez allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700451374 PECOS PAC ID: 5193036432 Enrollment ID: O20210624003291

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. Beanna 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
Beanna Martinez, OTR 898 Burt St, Tecumseh, MI 49286-1154 Ph: (178) 154-3155	Beanna Martinez, OTR 1200 N West Ave, Jackson, MI 49202-2179 Ph: (517) 789-1234

Reviews and Comments

Occupational Therapist in Jackson, MI

Kella Vadnais, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Cooper St, Jackson, MI 49202 Phone: 800-379-1600
Brett Walter Nowery, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 E Michigan Ave, Jackson, MI 49201 Phone: 517-205-7633
Amber Midena, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 Ann Arbor Rd, Jackson, MI 49201 Phone: 517-879-1505
Elizabeth A Avery, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 Cooper St, Jackson, MI 49202 Phone: 800-379-1600
Amy Michelle Lawe, MSOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2121 Robinson Rd, Jackson, MI 49203 Phone: 517-787-4150
Deanna Jane Cotter, MSOT, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6531 W Michigan Ave, Jackson, MI 49201 Phone: 517-750-3822

Beanna Martinez, OTR - Medicare Occupational Therapist in Jackson, MI