Laurajane Elizabeth Martin, NP is a medicare enrolled "Nurse Practitioner - Family" in Ray City, Georgia. Her current practice location is
1523 Old Valdosta Rd, Ray City, Georgia. You can reach out to her office (for appointments etc.) via phone at
(877) 755-2212.
Laurajane Elizabeth Martin is licensed to practice in Georgia (license number RN269162) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932985611.
Provider's Profile
| Full Name | Laurajane Elizabeth Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1523 Old Valdosta Rd, Ray City, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932985611
- Provider Enumeration Date: 09/07/2023
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224558127
- Enrollment ID: I20250221003396
Medical Identifiers
Medical identifiers for Laurajane Elizabeth Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932985611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN269162 (Georgia) | 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. Laurajane Elizabeth Martin allows following entities to bill medicare on her behalf.
| Entity Name | Selym & Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538997267
PECOS PAC ID: 0143756775
Enrollment ID: O20241206000388 |
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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. Laurajane Elizabeth 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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Laurajane Elizabeth Martin, NP
42 Paradise Lake Rd,
Tifton, GA 31794-9032
Ph: (229) 339-4491 | Laurajane Elizabeth Martin, NP
1523 Old Valdosta Rd,
Ray City, GA 31645-7132
Ph: (877) 755-2212 |
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