Ms Alexandra Martin, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Lebanon, New Hampshire. Her current practice location is
1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 650-5000.
Ms Alexandra Martin is licensed to practice in New Hampshire (license number 091190-23) 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 1609441096.
Physician's Profile
| Full Name | Ms Alexandra Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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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: 1609441096
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183025034
- Enrollment ID: I20210629002217
Medical Identifiers
Medical identifiers for Ms Alexandra Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609441096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0400X | Psychiatry & Neurology - Neurology | SP023139 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 091190-23 (New Hampshire) | 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. Ms Alexandra Martin allows following entities to bill medicare on her behalf.
| Entity Name | Main Line Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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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. Ms Alexandra 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 |
Ms Alexandra Martin, MSN, CRNP 250 W Lancaster Ave Ste 220, Paoli, PA 19301-1751 Ph: () - | Ms Alexandra Martin, MSN, CRNP 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000 |
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