Kenneth J Martin, MD - Medicare Pediatrics 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 NameKenneth J Martin
GenderMale
SpecialityPediatrics
Location610 30th Ave W, Alexandria, Minnesota
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1669688057NPI-NPPES
109461OtherMNTEMP LICENSE
1669688057OtherMNNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NamePrinceton Community Hospital Assn. Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436
Entity NameDavis Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.