Lavanda Martin, FNP-BC is a medicare enrolled "Technician, Pathology - Clinical Laboratory Director, Non-physician" in Florence, South Carolina. Her current practice location is
2724 W Palmetto St, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 799-2649.
Lavanda Martin is licensed to practice in * (Not Available) (license number ) 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 1548936404.
Provider's Profile
Full Name | Lavanda Martin |
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Gender | Female |
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Speciality | Technician, Pathology - Clinical Laboratory Director, Non-physician |
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Location | 2724 W Palmetto St, Florence, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548936404
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476951195
- Enrollment ID: I20250218003343
Medical Identifiers
Medical identifiers for Lavanda Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548936404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 236919 (South Carolina) | Secondary |
247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | (* (Not Available)) | 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. Lavanda Martin allows following entities to bill medicare on her behalf.
Entity Name | Revived Medical Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306653688 PECOS PAC ID: 3173043387 Enrollment ID: O20250218003226 |
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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. Lavanda 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 |
Lavanda Martin, FNP-BC 2724 W Palmetto St Ste 5, Florence, SC 29501-4909 Ph: (843) 799-2649 | Lavanda Martin, FNP-BC 2724 W Palmetto St, Florence, SC 29501-4909 Ph: (843) 799-2649 |
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