Kenneth W Martin, CRNA in Newburgh, NY - Medicare Nurse Anesthetist, Certified Registered

Kenneth W Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newburgh, New York. His current practice location is 70 Dubois Street, Mid-hudson Anesthesiologists, Pc, Newburgh, New York. You can reach out to his office (for appointments etc.) via phone at (845) 561-4400.

Kenneth W Martin is licensed to practice in New York (license number 70552) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124256656.

Contact Information

	Kenneth W Martin, CRNA
	70 Dubois Street, Mid-hudson Anesthesiologists, Pc, Newburgh, NY 12550
	(845) 561-4400
	(308) 254-7258

Map and Direction

Provider's Profile

Full Name	Kenneth W Martin
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	70 Dubois Street, Newburgh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124256656
Provider Enumeration Date: 06/23/2009
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 4981756491
Enrollment ID: I20201001000382

Medical Identifiers

Medical identifiers for Kenneth W Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124256656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024168356 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	101194 (Nebraska)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	70552 (New York)	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. Kenneth W Martin allows following entities to bill medicare on his behalf.

Entity Name	St. Vincent General Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497710958 PECOS PAC ID: 4587574884 Enrollment ID: O20040316001421

Entity Name	Arapahoe Gastroenterology Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598115479 PECOS PAC ID: 2466745294 Enrollment ID: O20160801001103

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020000054

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. Kenneth W 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
Kenneth W Martin, CRNA 2 Catharine Street, Mid-hudson Anesthesiologists, Pc, Poughkeepsie, NY 12601 Ph: (845) 790-2661	Kenneth W Martin, CRNA 70 Dubois Street, Mid-hudson Anesthesiologists, Pc, Newburgh, NY 12550 Ph: (845) 561-4400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Newburgh, NY

Dorothy A Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 Phone: 845-561-4400
Onidia C Weinert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 Phone: 845-561-4400 Fax: 845-790-2675
Mary B. Derosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 70 Duboi Street, St. Lukes Hospital, Newburgh, NY 12550 Phone: 845-561-4400
Monika M Kapusniak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 70 Dubois St, Newburgh, NY 12550 Phone: 845-561-4400
Emmanuella Pierre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St Lukes Hospital, 70 Dubois Street, Newburgh, NY 12550 Phone: 845-561-4400
Bonnie Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 Phone: 845-561-4400

Kenneth W Martin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Newburgh, NY