Jaclyn Martindale, DO in Concord, NC - Medicare Psychiatry & Neurology

Jaclyn Martindale, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Concord, North Carolina. Her current practice location is 100 Medical Park Dr, Suite 310, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-2660.

Jaclyn Martindale is licensed to practice in North Carolina (license number 2016-00270) 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 1922307438.

Contact Information

	Jaclyn Martindale, DO
	100 Medical Park Dr, Suite 310, Concord, NC 28025-2948
	(704) 403-2660
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaclyn Martindale
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	100 Medical Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922307438
Provider Enumeration Date: 03/23/2011
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 5496088452
Enrollment ID: I20190605002536

Medical Identifiers

Medical identifiers for Jaclyn Martindale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922307438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	2016-00270 (North Carolina)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2016-00270 (North Carolina)	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. Jaclyn Martindale allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Jaclyn Martindale 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
Jaclyn Martindale, DO 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 Ph: () -	Jaclyn Martindale, DO 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 Ph: (704) 403-2660

Reviews and Comments

Psychiatry & Neurology Doctors in Concord, NC

Guy Thomas Greco Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 315 Medical Park Dr Ste 202, Concord, NC 28025 Phone: 704-468-0101
Laura Ann Levin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1085 Ne Gateway Ct Ne, Ste 290, Concord, NC 28025 Phone: 704-403-4650
Louis David Viamonte, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-403-1800
Dr. Carol Richardson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 284 Executive Park Dr Ste 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Howard Lawrence Kreger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911
Katherine Cyran Van Poppel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660
Eric L. Marin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911

Jaclyn Martindale, DO - Medicare Psychiatry & Neurology in Concord, NC