Kenneth J Martin, MD in Alexandria, MN

Kenneth J Martin, MD is a medicare enrolled "Pediatrics" physician in Alexandria, Minnesota. His current practice location is 610 30th Ave W, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 763-5123.

Kenneth J Martin is licensed to practice in Pennsylvania (license number MT188409) 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 1669688057.

Contact Information

	Kenneth J Martin, MD
	610 30th Ave W, Alexandria, MN 56308-3426
	(320) 763-5123
	(320) 763-7883

Map and Direction

Physician's Profile

Full Name	Kenneth J Martin
Gender	Male
Speciality	Pediatrics
Location	610 30th Ave W, Alexandria, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669688057
Provider Enumeration Date: 05/15/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0648553149
Enrollment ID: I20231108000816

Medical Identifiers

Medical identifiers for Kenneth J Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669688057	NPI	-	NPPES
109461	Other	MN	TEMP LICENSE
1669688057	Other	MN	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MT188409 (Pennsylvania)	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. Kenneth J Martin allows following entities to bill medicare on his behalf.

Entity Name	Princeton Community Hospital Assn. Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436

Entity Name	Davis Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438

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. Kenneth J 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
Kenneth J Martin, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123	Kenneth J Martin, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123

Reviews and Comments

Pediatrics Doctors in Alexandria, MN

Justin T Conley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Brian D Carlsen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Jean K Fahey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Marcine P Ellwein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883

Kenneth J Martin, MD - Medicare Pediatrics in Alexandria, MN