Ernesto Martinez, is a medicare enrolled "Occupational Therapist" provider in Walnut Park, California. His current practice location is
3019 Grand Ave, Walnut Park, California. You can reach out to his office (for appointments etc.) via phone at
(323) 583-6691.
Ernesto Martinez is licensed to practice in California (license number OT4089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265725451.
Healthcare Provider's Profile
| Full Name | Ernesto Martinez |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 3019 Grand Ave, Walnut Park, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265725451
- Provider Enumeration Date: 05/19/2011
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951832047
- Enrollment ID: I20240930003622
Medical Identifiers
Medical identifiers for Ernesto Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265725451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT.61520661 (Washington) | Secondary |
| 225X00000X | Occupational Therapist | OC019971 (Pennsylvania) | Secondary |
| 225X00000X | Occupational Therapist | 1052095 (Oregon) | Secondary |
| 225X00000X | Occupational Therapist | OTL15232 (Massachusetts) | Secondary |
| 225X00000X | Occupational Therapist | OT4089 (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. Ernesto Martinez allows following entities to bill medicare on his behalf.
| Provider Name | Care To You Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700448735
PECOS PAC ID: 7113257247
Enrollment ID: O20191002002900 |
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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. Ernesto 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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Ernesto Martinez,
3019 Grand Ave,
Walnut Park, CA 90255-6228
Ph: () - | Ernesto Martinez,
3019 Grand Ave,
Walnut Park, CA 90255-6228
Ph: (323) 583-6691 |
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