Katelyn Rose Martin, PA is a medicare enrolled "Physician Assistant - Medical" in Freeburg, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Orthopedic Associates Llc, Orthopedic Associates Llc and her current practice location is
251 Marketplace Dr # 1, Freeburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 539-0067.
Katelyn Rose Martin is licensed to practice in NU (license number ) 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 1588145601.
Provider's Profile
| Full Name | Katelyn Rose Martin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 251 Marketplace Dr # 1, Freeburg, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Katelyn Rose Martin attended and graduated from Southern Illinois University School Of Medicine in 2018
NPI Data:
- NPI Number: 1588145601
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 06/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800136763
- Enrollment ID: I20190313000873
Medical Identifiers
Medical identifiers for Katelyn Rose Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588145601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orthopedic Associates Llc | 7113995333 | 14 |
| Orthopedic Associates Llc | 7113995333 | 14 |
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. Katelyn Rose Martin allows following entities to bill medicare on her behalf.
| Entity Name | Orthopedic Associates LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720159775
PECOS PAC ID: 7113995333
Enrollment ID: O20071107000266 |
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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. Katelyn Rose 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 |
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Katelyn Rose Martin, PA
3708 Round Hill Rd Apt 11,
Swansea, IL 62226-1221
Ph: Not Available | Katelyn Rose Martin, PA
251 Marketplace Dr # 1,
Freeburg, IL 62243-4082
Ph: (618) 539-0067 |
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