Mrs Nicole Mara Martinez, PSYD, LCPC in Lincolnshire, IL

Mrs Nicole Mara Martinez, PSYD, LCPC is a medicare enrolled "Counselor - Professional" provider in Lincolnshire, Illinois. Her current practice location is 250 Parkway Dr Ste 150, Lincolnshire, Illinois. You can reach out to her office (for appointments etc.) via phone at (917) 634-5311.

Mrs Nicole Mara Martinez is licensed to practice in Illinois (license number 180008146) 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 1417398645.

Contact Information

	Mrs Nicole Mara Martinez, PSYD, LCPC
	250 Parkway Dr Ste 150, Lincolnshire, IL 60069-4340
	(917) 634-5311
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Mara Martinez
Gender	Female
Speciality	Counselor - Professional
Location	250 Parkway Dr Ste 150, Lincolnshire, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417398645
Provider Enumeration Date: 07/16/2013
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5193257947
Enrollment ID: I20241017001523

Medical Identifiers

Medical identifiers for Mrs Nicole Mara Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417398645	NPI	-	NPPES
180.008146	Other	IL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180008146 (Illinois)	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. Mrs Nicole Mara Martinez allows following entities to bill medicare on her behalf.

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230117000481

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. Mrs Nicole Mara Martinez 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
Mrs Nicole Mara Martinez, PSYD, LCPC Po Box 24449 Suite 201, New York, NY 10087-0001 Ph: (917) 634-5311	Mrs Nicole Mara Martinez, PSYD, LCPC 250 Parkway Dr Ste 150, Lincolnshire, IL 60069-4340 Ph: (917) 634-5311

Reviews and Comments

Counselor in Lincolnshire, IL

Lenel Colleen Reuther, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16595 W Easton Ave, Lincolnshire, IL 60069 Phone: 708-899-6355
Barbara Lirtzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Olde Half Day Rd, Suite 292, Lincolnshire, IL 60069 Phone: 847-777-6933
Madison Patrice Maciejewski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Tri-state International Dr, Suite 135, Lincolnshire, IL 60069 Phone: 847-607-1520
Jennifer Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Olde Half Day Rd Ste 140-9, Lincolnshire, IL 60069 Phone: 847-790-4959
Maureen Dorgan Clemens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Olde Half Day Rd, Suite 130, Lincolnshire, IL 60069 Phone: 866-296-5262 Fax: 847-793-2437
Nicoletta Alexopoulos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16595 W Easton Ave, Lincolnshire, IL 60069 Phone: 847-242-1669
Miss Bethany Juran I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Barclay Blvd Ste 318, Lincolnshire, IL 60069 Phone: 847-748-2019

Mrs Nicole Mara Martinez, PSYD, LCPC - Medicare Counselor in Lincolnshire, IL