Ms Stacy Ann Martin, MD in American Fork, UT - Medicare Emergency Medicine

Ms Stacy Ann Martin, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in American Fork, Utah. Her current practice location is 170 North 1100 East, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 714-6570.

Ms Stacy Ann Martin is licensed to practice in Utah (license number 341513) 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 1891748315.

Contact Information

	Ms Stacy Ann Martin, MD
	170 North 1100 East, American Fork, UT 84003
	(801) 714-6570
	Not Available

Map and Direction

Physician's Profile

Full Name	Ms Stacy Ann Martin
Gender	Female
Speciality	Emergency Medicine - Emergency Medical Services
Location	170 North 1100 East, American Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891748315
Provider Enumeration Date: 05/18/2006
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 1557460706
Enrollment ID: I20110121000186

Medical Identifiers

Medical identifiers for Ms Stacy Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891748315	NPI	-	NPPES
491910	Other	UT	DESERET MUTUAL
97341513101001	Other	UT	BCBS
107008020102	Other	UT	SELECT HEALTH
D2015	Medicaid	UT
870636000MA1	Other	UT	EDUCATORS MUTUAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	EMTL-2020-001 (Guam)	Secondary
207P00000X	Emergency Medicine	MTL-2018-027 (Guam)	Secondary
207P00000X	Emergency Medicine	M-2221 (Guam)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	341513 (Utah)	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 Stacy Ann Martin allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

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 Stacy Ann 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 Stacy Ann Martin, MD Po Box 430, Spanish Fork, UT 84660-0430 Ph: (866) 898-7136	Ms Stacy Ann Martin, MD 170 North 1100 East, American Fork, UT 84003 Ph: (801) 714-6570

Reviews and Comments

Emergency Medicine Doctors in American Fork, UT

Todd Jeffrey Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 480-213-7512
Dr. Craig Bruce Cowan Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4600
Dr. Nathan G Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4650
Mr. Michael S Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Dr. Dean W Shelton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Mrs. Brenda M Crawford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 North 1100 East, American Fork, UT 84003 Phone: 801-714-6570
Barry Gardenhire, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-4506

Ms Stacy Ann Martin, MD - Medicare Emergency Medicine in American Fork, UT