Mr Shiloh Wayne Martin, MED LPC in Oologah, OK

Mr Shiloh Wayne Martin, MED LPC is a medicare enrolled "Counselor - Professional" provider in Oologah, Oklahoma. His current practice location is 14674 S Highway 169, Oologah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 515-1167.

Mr Shiloh Wayne Martin is licensed to practice in Oklahoma (license number 4309) 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 1255588901.

Contact Information

	Mr Shiloh Wayne Martin, MED LPC
	14674 S Highway 169, Oologah, OK 74053-3332
	(580) 515-1167
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Shiloh Wayne Martin
Gender	Male
Speciality	Counselor - Professional
Location	14674 S Highway 169, Oologah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255588901
Provider Enumeration Date: 08/25/2008
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 4486006996
Enrollment ID: I20240120000349

Medical Identifiers

Medical identifiers for Mr Shiloh Wayne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255588901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	135786 (Alaska)	Secondary
101YP2500X	Counselor - Professional	4309 (Oklahoma)	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. Mr Shiloh Wayne Martin allows following entities to bill medicare on his behalf.

Entity Name	Claremore Indian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104

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 Shiloh Wayne 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
Mr Shiloh Wayne Martin, MED LPC 14674 S Highway 169, Oologah, OK 74053-3332 Ph: (088) 452-2515	Mr Shiloh Wayne Martin, MED LPC 14674 S Highway 169, Oologah, OK 74053-3332 Ph: (580) 515-1167

Reviews and Comments

Counselor in Oologah, OK

William R Hiddle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 Old Us 169, Oologah, OK 74053 Phone: 918-695-2059 Fax: 918-221-7975
Sarah Nicole Hawthorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 S Old Highway 169, Oologah, OK 74053 Phone: 918-695-2059
Christopher Passmore, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12834 Old Us 169, Oologah, OK 74053 Phone: 918-695-2059 Fax: 918-221-7975
Kelli Marie Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15210 S 4060 Rd Lot B, Oologah, OK 74053 Phone: 918-230-9580
Jennifer L. Bristow Cain, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12834 S Old Highway 169, Oologah, OK 74053 Phone: 918-695-2059
Erica Dawn Bacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14019 S Willow Dr, Oologah, OK 74053 Phone: 808-392-7972

Mr Shiloh Wayne Martin, MED LPC - Medicare Counselor in Oologah, OK