Ms Jennifer Michelle Martin, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Tell City, Indiana. Her current practice location is
8885 State Road 237, Tell City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 547-0157.
Ms Jennifer Michelle Martin is licensed to practice in Kentucky (license number 124635) 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 1134579329.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Michelle Martin |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 8885 State Road 237, Tell City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134579329
- Provider Enumeration Date: 06/17/2016
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678928405
- Enrollment ID: I20231013000376
Medical Identifiers
Medical identifiers for Ms Jennifer Michelle Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134579329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2022031497 (Missouri) | Secondary |
| 133V00000X | Dietitian, Registered | 10218925 (Oregon) | Secondary |
| 133V00000X | Dietitian, Registered | 37002688A (Indiana) | Secondary |
| 133V00000X | Dietitian, Registered | 124635 (Kentucky) | 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. Ms Jennifer Michelle Martin allows following entities to bill medicare on her behalf.
| Provider Name | Strive Health Ky 2 Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881218683
PECOS PAC ID: 4486065596
Enrollment ID: O20201202000165 |
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| Provider Name | Strive Health Central Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295443703
PECOS PAC ID: 5698145522
Enrollment ID: O20230110001366 |
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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. Ms Jennifer Michelle 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 |
|---|
Ms Jennifer Michelle Martin, RDN, LD
381 Raintree Dr,
Owensboro, KY 42301-8633
Ph: (270) 993-1948 | Ms Jennifer Michelle Martin, RDN, LD
8885 State Road 237,
Tell City, IN 47586-8567
Ph: (812) 547-0157 |
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