Breanna Tyler Martin, NP - Medicare Nurse Practitioner in Salem, IN

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Breanna Tyler Martin, NP is a medicare enrolled "Nurse Practitioner - Family" in Salem, Indiana. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1312 E Hackberry St, Salem, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 286-0126.

Breanna Tyler Martin is licensed to practice in Indiana (license number 71015633A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861224099.

Contact Information

Breanna Tyler Martin, NP
1312 E Hackberry St,
Salem, IN 47167-9604
(812) 286-0126
Not Available

Map and Direction




Provider's Profile

Full NameBreanna Tyler Martin
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location1312 E Hackberry St, Salem, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Breanna Tyler Martin graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1861224099
  • Provider Enumeration Date: 08/16/2024
  • Last Update Date: 08/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618416454
  • Enrollment ID: I20240826001121

Medical Identifiers

Medical identifiers for Breanna Tyler Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861224099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71015633A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent SalemSalem, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841680

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. Breanna Tyler Martin allows following entities to bill medicare on her behalf.
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491

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. Breanna Tyler 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
Breanna Tyler Martin, NP
1312 E Hackberry St,
Salem, IN 47167-9604

Ph: (812) 286-0126		Breanna Tyler Martin, NP
1312 E Hackberry St,
Salem, IN 47167-9604

Ph: (812) 286-0126

Reviews and Comments


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Donna Sisk,
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Phone: 812-883-9396    Fax: 812-838-9439
Sarah Gill, PMHNP
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Practice Location: 1321 S Jackson St, Salem, IN 47167
Phone: 812-883-3095    

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.