Mr Derrick J Martin Sr, MD in Summerfield, FL

Mr Derrick J Martin Sr, MD is a medicare enrolled "Internal Medicine" physician in Summerfield, Florida. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Icmd Pa, Cora Health Services, Inc., Delcare, Pa and his current practice location is 10770 Se 173rd St, Summerfield, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 425-7321.

Mr Derrick J Martin Sr is licensed to practice in Florida (license number ME100133) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104980812.

Contact Information

	Mr Derrick J Martin Sr, MD
	10770 Se 173rd St, Summerfield, FL 34491-6851
	(352) 425-7321
	(352) 748-2700

Map and Direction

Physician's Profile

Full Name	Mr Derrick J Martin Sr
Gender	Male
Speciality	Internal Medicine
Experience	47 Years
Location	10770 Se 173rd St, Summerfield, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Derrick J Martin Sr graduated from medical school in 1977

NPI Data:

NPI Number: 1104980812
Provider Enumeration Date: 12/20/2006
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9133027055
Enrollment ID: I20080625000375

Medical Identifiers

Medical identifiers for Mr Derrick J Martin Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104980812	NPI	-	NPPES
SDW70	Other	LA	CHOICECARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD205035 (Louisiana)	Secondary
2086S0129X	Surgery - Vascular Surgery	ME100133 (Florida)	Secondary
207R00000X	Internal Medicine	ME100133 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icmd Pa	0143638478	3
Cora Health Services, Inc.	1759290992	556
Delcare, Pa	6103893904	4

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. Mr Derrick J Martin Sr allows following entities to bill medicare on his behalf.

Entity Name	Delcare, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780613950 PECOS PAC ID: 6103893904 Enrollment ID: O20040913000095

Entity Name	Usa Vein Clinics Of Miami Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396147138 PECOS PAC ID: 9830404003 Enrollment ID: O20150817002382

Entity Name	Icmd Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962091520 PECOS PAC ID: 0143638478 Enrollment ID: O20210426001495

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. Mr Derrick J Martin Sr 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
Mr Derrick J Martin Sr, MD 10770 Se 173rd St, Summerfield, FL 34491-6851 Ph: (352) 425-7321	Mr Derrick J Martin Sr, MD 10770 Se 173rd St, Summerfield, FL 34491-6851 Ph: (352) 425-7321

Reviews and Comments

Internal Medicine Doctors in Summerfield, FL

Jorge Alfonso, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10900 Se 174th Place Rd, Summerfield, FL 34491 Phone: 352-820-3401 Fax: 352-820-3402
Dr. Ma Thuzar Aung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10250 Se 167th Place Rd, Suite 5-1, Summerfield, FL 34491 Phone: 352-735-3755 Fax: 352-735-3151
Dr. Michael D Chesner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10250 Se 167th Place Rd Unit 5, Summerfield, FL 34491 Phone: 352-307-9925 Fax: 352-307-8442
Prabhat K Tandon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10250 Se 167th Place Rd, Suite 5-1, Summerfield, FL 34491 Phone: 352-307-9925 Fax: 342-307-8442
Lauro Garcia Lapuz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10250 Se 167th Place Road, Suite 5, Summerfield, FL 34491 Phone: 352-307-9925 Fax: 352-307-8442
Dr. Hasan Abualula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10250 Se 167th Place Rd, Suite 5, Summerfield, FL 34491 Phone: 352-307-9925 Fax: 352-307-8442
Mariana De Jongh-beyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17345 Se 109th Terrace Rd, Summerfield, FL 34491 Phone: 352-751-4885 Fax: 352-751-5371

Mr Derrick J Martin Sr, MD - Medicare Internal Medicine in Summerfield, FL