Charlene Samone Martin, MS CCC-SLP in Dallas, GA - Medicare Speech-Language Pathologist Provider

Charlene Samone Martin, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Dallas, Georgia. Her current practice location is 103 Due West Pass, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 556-7053.

Charlene Samone Martin is licensed to practice in Georgia (license number SLP007542) 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 1417565532.

Contact Information

	Charlene Samone Martin, MS CCC-SLP
	103 Due West Pass, Dallas, GA 30157-2545
	(404) 556-7053
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charlene Samone Martin
Gender	Female
Speciality	Speech-language Pathologist
Location	103 Due West Pass, Dallas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417565532
Provider Enumeration Date: 07/15/2020
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6709296452
Enrollment ID: I20201109000315

Medical Identifiers

Medical identifiers for Charlene Samone Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417565532	NPI	-	NPPES
SLP007542	Other	GA	GEORGIA LICENSING ENTITY
SLP007542	Other	GA	STATE LICENSURE SPEECH LANGUAGE PATHOLOGY
10005249	Other	GA	AMERICAN SPEECH AND HEARING ASSOCIATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP007542 (Georgia)	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. Charlene Samone Martin allows following entities to bill medicare on her behalf.

Provider Name	Martin Medical Slp Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114526811 PECOS PAC ID: 5890105548 Enrollment ID: O20201109000265

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. Charlene Samone 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
Charlene Samone Martin, MS CCC-SLP 103 Due West Pass, Dallas, GA 30157-2545 Ph: (404) 556-7053	Charlene Samone Martin, MS CCC-SLP 103 Due West Pass, Dallas, GA 30157-2545 Ph: (404) 556-7053

Reviews and Comments

Speech-Language Pathologist in Dallas, GA

Leah Reilly Nichols, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Road, Dallas, GA 30157 Phone: 770-443-9672
Amy Mason, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672 Fax: 770-505-3595
Emily Gantt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 283 Red Hawk Way, Dallas, GA 30132 Phone: 561-801-3148
Mary Kathleen Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672
Andrea Baerwalde, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Garland Rose Ln, Dallas, GA 30157 Phone: 770-380-2067 Fax: 770-974-7631
Clifton Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672
Jessica Duffey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3044 Due West Rd, Dallas, GA 30157 Phone: 770-443-9672

Charlene Samone Martin, MS CCC-SLP - Medicare Speech-Language Pathologist in Dallas, GA