Kathleen Martin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Princeville, Illinois. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Medical Center Of Illinois, Proctor Health Systems and her current practice location is
223 E Main St, Princeville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 385-4371.
Kathleen Martin is licensed to practice in Illinois (license number 209004444) 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 1669422135.
Provider's Profile
| Full Name | Kathleen Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 223 E Main St, Princeville, 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. |
Medical Education and Training:
- Kathleen Martin graduated from nursing school in 2002
NPI Data:
- NPI Number: 1669422135
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466430467
- Enrollment ID: I20040707001289
Medical Identifiers
Medical identifiers for Kathleen Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669422135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209004444 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 209004444 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Proctor Health Systems | 3476440173 | 125 |
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. Kathleen Martin allows following entities to bill medicare on her behalf.
| Entity Name | Proctor Health Systems |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
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| Entity Name | Methodist Medical Center Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
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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. Kathleen 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 |
Kathleen Martin, FNP 223 E Main St, Princeville, IL 61559-9654 Ph: (309) 385-4371 | Kathleen Martin, FNP 223 E Main St, Princeville, IL 61559-9654 Ph: (309) 385-4371 |
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