Carol A Martin, MD in Black River Falls, WI

Carol A Martin, MD is a medicare enrolled "Family Medicine" physician in Black River Falls, Wisconsin. Her current practice location is 711 W Adams St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 284-5361.

Carol A Martin is licensed to practice in Wisconsin (license number 35705) 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 1326084690.

Contact Information

	Carol A Martin, MD
	711 W Adams St, Black River Falls, WI 54615-9108
	(715) 284-5361
	(715) 284-1390

Map and Direction

Physician's Profile

Full Name	Carol A Martin
Gender	Female
Speciality	Family Medicine
Location	711 W Adams St, Black River Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326084690
Provider Enumeration Date: 06/22/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5294636650
Enrollment ID: I20051207000299

Medical Identifiers

Medical identifiers for Carol A Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326084690	NPI	-	NPPES
35705	Other	WI	WISCONSIN LICENSE NUMBER
84D66MA	Other	MN	MINNESOTA BLUE CROSS
32074500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35705 (Wisconsin)	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. Carol A Martin allows following entities to bill medicare on her behalf.

Entity Name	Black River Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517

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. Carol A 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
Carol A Martin, MD 711 W Adams St, Black River Falls, WI 54615-9108 Ph: (715) 284-5361	Carol A Martin, MD 711 W Adams St, Black River Falls, WI 54615-9108 Ph: (715) 284-5361

Reviews and Comments

Family Medicine Doctors in Black River Falls, WI

Kirk Lane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Delbert W Rogers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Jeffrey K Polzin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Dr. Sarah June Busse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-2568
Neil Francis Cox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150
Shelby M Nykiel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 608-755-7873

Carol A Martin, MD - Medicare Family Medicine in Black River Falls, WI