Jessica Martin, PA-C is a medicare enrolled "Physician Assistant" physician in Simi Valley, California. Her current practice location is
2840 E Los Angeles Ave, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at
(805) 526-8360.
Jessica Martin is licensed to practice in * (Not Available) (license number ) 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 1770090201.
Physician's Profile
| Full Name | Jessica Martin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2840 E Los Angeles Ave, Simi Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770090201
- Provider Enumeration Date: 01/05/2018
- Last Update Date: 06/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335401041
- Enrollment ID: I20180316001102
Medical Identifiers
Medical identifiers for Jessica Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770090201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0505X | Family Medicine - Adult Medicine | PA55234 (California) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Jessica Martin allows following entities to bill medicare on her behalf.
| Entity Name | Daniel Ghiyam MD Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114245842 PECOS PAC ID: 1850429085 Enrollment ID: O20100510000474 |
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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. Jessica 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 |
Jessica Martin, PA-C 2840 E Los Angeles Ave, Simi Valley, CA 93065-3937 Ph: Not Available | Jessica Martin, PA-C 2840 E Los Angeles Ave, Simi Valley, CA 93065 Ph: (805) 526-8360 |
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