Dr Angela Martinez, MD is a medicare enrolled "Family Medicine" physician in Wenona, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
516 S Chestnut St, Wenona, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 853-4402.
Dr Angela Martinez is licensed to practice in Illinois (license number 036099168) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386671709.
Physician's Profile
| Full Name | Dr Angela Martinez |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 516 S Chestnut St, Wenona, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Angela Martinez attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1996
NPI Data:
- NPI Number: 1386671709
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 01/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 8921900390
- Enrollment ID: I20040126000150
Medical Identifiers
Medical identifiers for Dr Angela Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386671709 | NPI | - | NPPES |
| 036099168 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036099168 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 3022 |
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. Dr Angela Martinez allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Dr Angela 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 |
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Dr Angela Martinez, MD
750 Green Bay Rd,
Winnetka, IL 60093-1938
Ph: (847) 446-0202 | Dr Angela Martinez, MD
516 S Chestnut St,
Wenona, IL 61377-7526
Ph: (815) 853-4402 |
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