Dr Clint Martin, DMD is a medicare enrolled "Dentist" provider in Brimfield, Illinois. His current practice location is
232 E Knoxville St, Brimfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 320-8750.
Dr Clint Martin is licensed to practice in Illinois (license number 019029025) 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 1588928006.
Healthcare Provider's Profile
Full Name | Dr Clint Martin |
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Gender | Male |
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Speciality | Dentist |
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Location | 232 E Knoxville St, Brimfield, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588928006
- Provider Enumeration Date: 06/28/2012
- Last Update Date: 04/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385955210
- Enrollment ID: I20150619000061
Medical Identifiers
Medical identifiers for Dr Clint Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588928006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019029025 (Illinois) | Primary |
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 Clint 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 Clint Martin, DMD 232 E Knoxville St, Brimfield, IL 61517-8103 Ph: (309) 396-3123 | Dr Clint Martin, DMD 232 E Knoxville St, Brimfield, IL 61517-8103 Ph: (309) 320-8750 |
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