Dr Breann Nicole Martin, PSYD in Eugene, OR - Medicare Psychologist Provider

Dr Breann Nicole Martin, PSYD is a medicare enrolled "Psychologist - Forensic" provider in Eugene, Oregon. Her current practice location is 1400 Executive Pkwy Ste 260, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (458) 215-5397.

Dr Breann Nicole Martin is licensed to practice in Oregon (license number 2730) 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 1053838581.

Contact Information

	Dr Breann Nicole Martin, PSYD
	1400 Executive Pkwy Ste 260, Eugene, OR 97401-7121
	(458) 215-5397
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Breann Nicole Martin
Gender	Female
Speciality	Psychologist - Forensic
Location	1400 Executive Pkwy Ste 260, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053838581
Provider Enumeration Date: 08/25/2017
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6204196967
Enrollment ID: I20180129001787

Medical Identifiers

Medical identifiers for Dr Breann Nicole Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053838581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2730 (Oregon)	Secondary
103TF0200X	Psychologist - Forensic	2730 (Oregon)	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. Dr Breann Nicole Martin allows following entities to bill medicare on her behalf.

Entity Name	Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453

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. Dr Breann Nicole 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
Dr Breann Nicole Martin, PSYD 366 Greenfield Ave, Eugene, OR 97404-1679 Ph: (714) 767-2949	Dr Breann Nicole Martin, PSYD 1400 Executive Pkwy Ste 260, Eugene, OR 97401-7121 Ph: (458) 215-5397

Reviews and Comments

Psychologist in Eugene, OR

Philip Andrew Fisher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Pearl St, Eugene, OR 97401 Phone: 541-743-4340 Fax: 541-743-4369
Thomas F Keefe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 Fax: 541-687-6214
Dr. Kris S Hallenburg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd, Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984
Erik D Sorensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 E 12th Ave, Eugene, OR 97401 Phone: 541-345-8749 Fax: 541-344-7595
Elizabeth Ryann Watson-stites, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 901 East 18th Ave, Eugene, OR 97403 Phone: 541-346-3575
Mrs. Jenelle M'lou Braun Stone, MA, MS, MS, PH.D. - Psychologist Medicare: Medicare Enrolled Practice Location: 132 E Broadway, Ste 332, Eugene, OR 97401 Phone: 541-915-1600 Fax: 541-359-4433
Mr. Jack Blanton Wills, M.S., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1414 Kincaid St, Eugene, OR 97401 Phone: 541-505-2080

Dr Breann Nicole Martin, PSYD - Medicare Psychologist in Eugene, OR