Jonathan Martinez, is a medicare enrolled "Pediatrics" physician in Minot Afb, North Dakota. His current practice location is
10 Missile Ave, Minot Afb, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 723-5491.
Jonathan Martinez is licensed to practice in Nebraska (license number 29746) 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 1659753952.
Physician's Profile
Full Name | Jonathan Martinez |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 10 Missile Ave, Minot Afb, North Dakota |
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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: 1659753952
- Provider Enumeration Date: 06/23/2015
- Last Update Date: 04/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961702071
- Enrollment ID: I20151121000237
Medical Identifiers
Medical identifiers for Jonathan Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659753952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 38529 (South Carolina) | Secondary |
208000000X | Pediatrics | 29746 (Nebraska) | Primary |
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. Jonathan Martinez 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 |
Jonathan Martinez, 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-0887 | Jonathan Martinez, 10 Missile Ave, Minot Afb, ND 58705-5003 Ph: (701) 723-5491 |
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