Haley Martin, is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Worth, Texas. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Doctor On Demand Professionals P C and her current practice location is
1048 Aledo Ridge Ct, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 694-5232.
Haley Martin is licensed to practice in Texas (license number AP140445) 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 1568929552.
Physician's Profile
| Full Name | Haley Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1048 Aledo Ridge Ct, Fort Worth, Texas |
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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:
- Haley Martin graduated from medical school in 2018
NPI Data:
- NPI Number: 1568929552
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577998624
- Enrollment ID: I20200117000444
Medical Identifiers
Medical identifiers for Haley Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568929552 | NPI | - | NPPES |
| 1366537482 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | AP140445 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP140445 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Doctor On Demand Professionals P C | 9436464567 | 145 |
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. Haley Martin allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Urgent Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598059776
PECOS PAC ID: 2567891609
Enrollment ID: O20200410001319 |
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| Entity Name | Doctor On Demand Professionals P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20230911004112 |
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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. Haley 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 |
|---|
Haley Martin,
1048 Aledo Ridge Ct,
Fort Worth, TX 76108-3098
Ph: (817) 694-5232 | Haley Martin,
1048 Aledo Ridge Ct,
Fort Worth, TX 76108-3098
Ph: (817) 694-5232 |
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