Kenneth Martin Iii, OTR/L is a medicare enrolled "Occupational Therapist" provider in Bremen, Georgia. His current practice location is
315 Field St, Bremen, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 537-4482.
Kenneth Martin Iii is licensed to practice in Virginia (license number 0119-008582) 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 1700407673.
Healthcare Provider's Profile
| Full Name | Kenneth Martin Iii |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 315 Field St, Bremen, Georgia |
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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: 1700407673
- Provider Enumeration Date: 05/02/2020
- Last Update Date: 05/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133587140
- Enrollment ID: I20230623001516
Medical Identifiers
Medical identifiers for Kenneth Martin Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700407673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 0119-008582 (Virginia) | 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. Kenneth Martin Iii allows following entities to bill medicare on his behalf.
| Provider Name | Civil Physical Therapy, Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1336786417
PECOS PAC ID: 3274968169
Enrollment ID: O20230110002462 |
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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. Kenneth Martin Iii 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 |
|---|
Kenneth Martin Iii, OTR/L
6009 Zurich Dr,
Richmond, VA 23224-4527
Ph: (804) 972-8010 | Kenneth Martin Iii, OTR/L
315 Field St,
Bremen, GA 30110-2105
Ph: (770) 537-4482 |
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