Katie Martin, is a medicare enrolled "Internal Medicine" physician in Grand Ronde, Oregon. She went to University Of Washington School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Confederated Tribes Of The Grand Ronde Community Of Oregon and her current practice location is
9615 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 879-2008.
Katie Martin is licensed to practice in Oregon (license number MD194053) 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 1770970998.
Physician's Profile
| Full Name | Katie Martin |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 9 Years |
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| Location | 9615 Grand Ronde Rd, Grand Ronde, Oregon |
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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:
- Katie Martin attended and graduated from University Of Washington School Of Medicine in 2015
NPI Data:
- NPI Number: 1770970998
- Provider Enumeration Date: 04/26/2015
- Last Update Date: 08/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163732793
- Enrollment ID: I20191031002103
Medical Identifiers
Medical identifiers for Katie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770970998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD194053 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Confederated Tribes Of The Grand Ronde Community Of Oregon | 6103717277 | 12 |
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. Katie Martin allows following entities to bill medicare on her behalf.
| Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174666358
PECOS PAC ID: 6103717277
Enrollment ID: O20040320000494 |
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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. Katie 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 |
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Katie Martin,
9615 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
Ph: (503) 879-2297 | Katie Martin,
9615 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
Ph: (503) 879-2008 |
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