Kourtney Martin, CNM is a medicare enrolled "Advanced Practice Midwife" in Orange Park, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Community Medical Associates Inc and her current practice location is
1560 Kingsley Ave Ste 4, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 264-1628.
Kourtney Martin is licensed to practice in Florida (license number 11015562) 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 1952072571.
Provider's Profile
| Full Name | Kourtney Martin |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 5 Years |
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| Location | 1560 Kingsley Ave Ste 4, Orange Park, Florida |
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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:
- Kourtney Martin graduated from nursing school in 2021
NPI Data:
- NPI Number: 1952072571
- Provider Enumeration Date: 09/23/2021
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981092111
- Enrollment ID: I20240202003479
Medical Identifiers
Medical identifiers for Kourtney Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952072571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 4010884 (Kentucky) | Secondary |
| 367A00000X | Advanced Practice Midwife | 11015562 (Florida) | Primary |
| 176B00000X | Midwife | 11015562 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Medical Associates Inc | 7012811284 | 1368 |
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. Kourtney Martin allows following entities to bill medicare on her behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306983762
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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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. Kourtney 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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Kourtney Martin, CNM
197 N Lake Cunningham Ave,
Jacksonville, FL 32259-7939
Ph: Not Available | Kourtney Martin, CNM
1560 Kingsley Ave Ste 4,
Orange Park, FL 32073-9200
Ph: (904) 264-1628 |
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