Dr Kenneth Wade Martin, MD in Philadelphia, PA

Dr Kenneth Wade Martin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Philadelphia, Pennsylvania. 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.

Dr Kenneth Wade Martin is licensed to practice in Pennsylvania (license number MD479412) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265471338.

Contact Information

	Dr 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	Dr Kenneth Wade Martin
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	160 E Erie Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265471338
Provider Enumeration Date: 06/05/2006
Last Update Date: 12/30/2022

Medicare PECOS Information:

PECOS PAC ID: 8628020047
Enrollment ID: I20050215000281

Medical Identifiers

Medical identifiers for Dr 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
2085R0202X	Radiology - Diagnostic Radiology	G59973 (California)	Secondary
2085R0001X	Radiology - Radiation Oncology	MD479412 (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD479412 (Pennsylvania)	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. Dr Kenneth Wade Martin allows following entities to bill medicare on his behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Xin Qi Wei, DO Radiology Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5234
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005

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