Deirdre Ann Martinez, FNP in Petaluma, CA - Medicare Nurse Practitioner

Deirdre Ann Martinez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Petaluma, California. Her current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7500.

Deirdre Ann Martinez is licensed to practice in California (license number 95022828) 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 1770191538.

Contact Information

	Deirdre Ann Martinez, FNP
	1179 N Mcdowell Blvd, Petaluma, CA 94954-6559
	(707) 559-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Deirdre Ann Martinez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770191538
Provider Enumeration Date: 07/17/2020
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1759753817
Enrollment ID: I20240124003235

Medical Identifiers

Medical identifiers for Deirdre Ann Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770191538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2025223 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	95022828 (California)	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. Deirdre Ann Martinez allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Deirdre Ann 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
Deirdre Ann Martinez, FNP 66 Oxford Dr, San Rafael, CA 94903-2887 Ph: (415) 246-5409	Deirdre Ann Martinez, FNP 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500

Reviews and Comments

Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802
Dahae Hwang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620

Deirdre Ann Martinez, FNP - Medicare Nurse Practitioner in Petaluma, CA