Jeremy Dean Martinelli, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist" in Bastrop, Texas. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mark Malone Md Pa and his current practice location is
1106 College St Ste C, Bastrop, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 244-4272.
Jeremy Dean Martinelli is licensed to practice in Texas (license number 1123440) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831900166.
Provider's Profile
| Full Name | Jeremy Dean Martinelli |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 1106 College St Ste C, Bastrop, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeremy Dean Martinelli graduated from nursing school in 2025
NPI Data:
- NPI Number: 1831900166
- Provider Enumeration Date: 01/16/2025
- Last Update Date: 01/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 5193225753
- Enrollment ID: I20250826005092
Medical Identifiers
Medical identifiers for Jeremy Dean Martinelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831900166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | 1123440 (Texas) | Primary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 1123440 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mark Malone Md Pa | 2567369424 | 102 |
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. Jeremy Dean Martinelli allows following entities to bill medicare on his behalf.
| Entity Name | Mark Malone MD PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407057250
PECOS PAC ID: 2567369424
Enrollment ID: O20031217001064 |
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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. Jeremy Dean Martinelli 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 |
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Jeremy Dean Martinelli, AGCNS-BC
101 W Louis Henna Blvd Ste 300,
Austin, TX 78728-1203
Ph: (512) 244-4272 | Jeremy Dean Martinelli, AGCNS-BC
1106 College St Ste C,
Bastrop, TX 78602-3948
Ph: (512) 244-4272 |
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