Elena Martinez, OD - Medicare Optometrist in Sparta, NJ

  1. Home
  2. Optometrists
  3. NJ
  4. Sparta
Elena Martinez, OD is a medicare enrolled "Optometrist" provider in Sparta, New Jersey. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Northwest Optometry Group Pa and her current practice location is 117 Sparta Ave, Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 726-0669.

Elena Martinez is licensed to practice in New Jersey (license number 27OA00666600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093166290.

Contact Information

Elena Martinez, OD
117 Sparta Ave,
Sparta, NJ 07871-1773
(973) 726-0669
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElena Martinez
GenderFemale
SpecialityOptometry
Experience8 Years
Location117 Sparta Ave, Sparta, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elena Martinez graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1093166290
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 06/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7810280294
  • Enrollment ID: I20160722000081

Medical Identifiers

Medical identifiers for Elena Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093166290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 27OA00666600 (New Jersey)Primary
152W00000XOptometrist 27OM00134600 (New Jersey)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Optometry Group Pa06482964186

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. Elena Martinez allows following entities to bill medicare on her behalf.
Provider NameNorthwest Optometry Group Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801853254
PECOS PAC ID: 0648296418
Enrollment ID: O20051222000270

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. Elena 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 AddressPractice Location Address
Elena Martinez, OD
117 Sparta Ave,
Sparta, NJ 07871-1773

Ph: (973) 726-0669		Elena Martinez, OD
117 Sparta Ave,
Sparta, NJ 07871-1773

Ph: (973) 726-0669

Reviews and Comments


Optometrist in Sparta, NJ

Eyedeal Eyecare Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 328b Sparta Ave, Sparta, NJ 07871
Phone: 973-604-2020    
S&d Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 21 Lafayette Rd Ste C, Sparta, NJ 07871
Phone: 973-729-7755    
Dr. Kruti Navin Shah, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 350 Sparta Ave, Sparta, NJ 07871
Phone: 203-558-8016    
Dr. Glenn Alan Neufeld, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4 Main St, Sparta, NJ 07871
Phone: 973-726-9679    Fax: 973-726-9606
Chaulaben Patel,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21 Lafayette Rd Ste C, Sparta, NJ 07871
Phone: 973-729-7755    
Dr. Diane L. Fabery, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 270 Sparta Ave, Suite 206, Sparta, NJ 07871
Phone: 973-729-9199    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.