Jackie N Marshall-martin, PMHNP in Snellville, GA

Jackie N Marshall-martin, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Snellville, Georgia. Her current practice location is 3991 Highway 78 W Ste 203, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 978-9393.

Jackie N Marshall-martin is licensed to practice in Georgia (license number RN159956) 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 1245743756.

Contact Information

	Jackie N Marshall-martin, PMHNP
	3991 Highway 78 W Ste 203, Snellville, GA 30039-3929
	(770) 978-9393
	Not Available

Map and Direction

Provider's Profile

Full Name	Jackie N Marshall-martin
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3991 Highway 78 W Ste 203, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245743756
Provider Enumeration Date: 11/07/2017
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 1153855804
Enrollment ID: I20241118001120

Medical Identifiers

Medical identifiers for Jackie N Marshall-martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245743756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN159956 (Georgia)	Primary
163W00000X	Registered Nurse	RN159956 (Georgia)	Secondary

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. Jackie N Marshall-martin allows following entities to bill medicare on her behalf.

Entity Name	Uhs Of Peachford, L.p.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124207220 PECOS PAC ID: 9234123894 Enrollment ID: O20040414001376

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. Jackie N Marshall-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
Jackie N Marshall-martin, PMHNP 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (770) 978-9393	Jackie N Marshall-martin, PMHNP 3991 Highway 78 W Ste 203, Snellville, GA 30039-3929 Ph: (770) 978-9393

Reviews and Comments

Nurse Practitioner Nurses in Snellville, GA

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Dr. Angella Samuels, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078 Phone: 770-248-1637 Fax: 770-248-1638
Shannon Maria Saroka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr Ste D, Snellville, GA 30078 Phone: 770-982-7790 Fax: 770-982-7795

Jackie N Marshall-martin, PMHNP - Medicare Nurse Practitioner in Snellville, GA