Dora Alicia Martinez, MD is a medicare enrolled "Family Medicine" physician in Santa Rosa, Texas. Her current practice location is
122 Fm 506, Santa Rosa, Texas. You can reach out to her office (for appointments etc.) via phone at
(956) 365-6071.
Dora Alicia Martinez is licensed to practice in Texas (license number TEMPORARY LICENSE) 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 1811217003.
Physician's Profile
| Full Name | Dora Alicia Martinez |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 122 Fm 506, Santa Rosa, Texas |
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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: 1811217003
- Provider Enumeration Date: 06/10/2010
- Last Update Date: 06/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 1557485018
- Enrollment ID: I20100907000033
Medical Identifiers
Medical identifiers for Dora Alicia Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811217003 | NPI | - | NPPES |
| TEMPORARY LICENSE | Other | TX | TMB |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TEMPORARY LICENSE (Texas) | 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. Dora Alicia Martinez allows following entities to bill medicare on her behalf.
| Entity Name | Valley Aids Council |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740223379
PECOS PAC ID: 9638127376
Enrollment ID: O20050110000129 |
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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. Dora Alicia 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 |
|---|
Dora Alicia Martinez, MD
1706 Treasure Hills Blvd,
Harlingen, TX 78550-8911
Ph: (956) 365-6750 | Dora Alicia Martinez, MD
122 Fm 506,
Santa Rosa, TX 78593-0226
Ph: (956) 365-6071 |
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