Cody Lee Martinez, ACNPC-AG in Lubbock, TX - Medicare Nurse Practitioner

Cody Lee Martinez, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Lubbock, Texas. His current practice location is 3615 19th St, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 725-0401.

Cody Lee Martinez is licensed to practice in Texas (license number 1132556) 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 1699457960.

Contact Information

	Cody Lee Martinez, ACNPC-AG
	3615 19th St, Lubbock, TX 79410-1209
	(806) 725-0401
	Not Available

Map and Direction

Provider's Profile

Full Name	Cody Lee Martinez
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	3615 19th St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699457960
Provider Enumeration Date: 08/04/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8820442981
Enrollment ID: I20230925000925

Medical Identifiers

Medical identifiers for Cody Lee Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699457960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	930566 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1132556 (Texas)	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. Cody Lee Martinez allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563

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. Cody Lee Martinez 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
Cody Lee Martinez, ACNPC-AG 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844	Cody Lee Martinez, ACNPC-AG 3615 19th St, Lubbock, TX 79410-1209 Ph: (806) 725-0401

Reviews and Comments

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Cody Lee Martinez, ACNPC-AG - Medicare Nurse Practitioner in Lubbock, TX