Kenneth Wade Martin, MD in Philadelphia, PA - Medicare Diagnostic Radiology

Kenneth Wade Martin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. He graduated from medical school in 1982 and has 43 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Stc Pediatrics Llc and his current practice location is 160 E Erie Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 427-5234.

Kenneth Wade Martin is licensed to practice in Pennsylvania (license number MD479412) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265471338.

Contact Information

	Kenneth Wade Martin, MD
	160 E Erie Ave, Philadelphia, PA 19134-1011
	(215) 427-5234
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Wade Martin
Gender	Male
Speciality	Diagnostic Radiology
Experience	43 Years
Location	160 E Erie Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Wade Martin graduated from medical school in 1982

NPI Data:

NPI Number: 1265471338
Provider Enumeration Date: 06/05/2006
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8628020047
Enrollment ID: I20221012001396

Medical Identifiers

Medical identifiers for Kenneth Wade Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265471338	NPI	-	NPPES
00G599730	Medicaid	CA
P00247201	Other		RAILROAD MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	MD479412 (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	G59973 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD479412 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stc Pediatrics Llc	7315372323	60

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. Kenneth Wade Martin allows following entities to bill medicare on his behalf.

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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. Kenneth Wade 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
Kenneth Wade Martin, MD Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324	Kenneth Wade Martin, MD 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-5234

Reviews and Comments

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Kenneth Wade Martin, MD - Medicare Diagnostic Radiology in Philadelphia, PA