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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