Ms Anita Louise Martin, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in New Town, North Dakota. Her current practice location is
1251 Elbowoods Loop, New Town, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 627-4750.
Ms Anita Louise Martin is licensed to practice in North Carolina (license number 30406) 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 1174582126.
Physician's Profile
| Full Name | Ms Anita Louise Martin |
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| Gender | Female |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 1251 Elbowoods Loop, New Town, 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. |
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NPI Data:
- NPI Number: 1174582126
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991001398
- Enrollment ID: I20160310002436
Medical Identifiers
Medical identifiers for Ms Anita Louise Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174582126 | NPI | - | NPPES |
| 7422261 | Other | NC | AETNA |
| 54142 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8954142 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 30406 (North Carolina) | 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 Anita Louise Martin allows following entities to bill medicare on her behalf.
| Entity Name | Elbowoods Memorial Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831365519
PECOS PAC ID: 1052477494
Enrollment ID: O20090310000122 |
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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 Anita Louise 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 Anita Louise Martin, MD
1251 Elbowoods Loop,
New Town, ND 58763
Ph: (701) 627-4750 | Ms Anita Louise Martin, MD
1251 Elbowoods Loop,
New Town, ND 58763
Ph: (701) 627-4750 |
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