Emily Grace Martin, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Varnville, South Carolina. Her current practice location is
595 W Carolina Ave, Varnville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 943-2771.
Emily Grace Martin is licensed to practice in South Carolina (license number 86171031) 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 1316776115.
Healthcare Provider's Profile
| Full Name | Emily Grace Martin |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 595 W Carolina Ave, Varnville, South Carolina |
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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: 1316776115
- Provider Enumeration Date: 07/30/2024
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537681366
- Enrollment ID: I20250320002504
Medical Identifiers
Medical identifiers for Emily Grace Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316776115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86171031 (South Carolina) | 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. Emily Grace Martin allows following entities to bill medicare on her behalf.
| Provider Name | Coastal Plains Physician Associates |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316992506 PECOS PAC ID: 2567368822 Enrollment ID: O20040108000075 |
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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. Emily Grace 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 |
Emily Grace Martin, RD, LD 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-2771 | Emily Grace Martin, RD, LD 595 W Carolina Ave, Varnville, SC 29944-4735 Ph: (803) 943-2771 |
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