Madison Martin, is a medicare enrolled "Nurse Practitioner - Gerontology" in North Berwick, Maine. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impact Health Pc, Impact Health Advanced Care Pc, Impact Health Advanced Care Pc, Impact Health Me, Llc and her current practice location is
47 Elm St, North Berwick, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 317-1102.
Madison Martin is licensed to practice in Maine (license number CNP241659) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1316754658.
Provider's Profile
| Full Name | Madison Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 47 Elm St, North Berwick, Maine |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Madison Martin graduated from nursing school in 2024
NPI Data:
- NPI Number: 1316754658
- Provider Enumeration Date: 12/11/2024
- Last Update Date: 01/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 0042749418
- Enrollment ID: I20260120002920
Medical Identifiers
Medical identifiers for Madison Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316754658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | CNP241659 (Maine) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | CNP241659 (Maine) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | CNP241659 (Maine) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Impact Health Pc | 0941562664 | 79 |
| Impact Health Advanced Care Pc | 8325537863 | 18 |
| Impact Health Advanced Care Pc | 8325537863 | 18 |
| Impact Health Me, Llc | 9133463490 | 18 |
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. Madison Martin allows following entities to bill medicare on her behalf.
| Entity Name | Impact Health PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730694316
PECOS PAC ID: 0941562664
Enrollment ID: O20221108000947 |
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| Entity Name | Impact Health Wound Care PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093502742
PECOS PAC ID: 4587181581
Enrollment ID: O20250502002175 |
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| Entity Name | Impact Health Advanced Care PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528931011
PECOS PAC ID: 8325537863
Enrollment ID: O20251031001307 |
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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. Madison 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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Madison Martin,
68 Country Club 2 Rd,
Sanford, ME 04073-5128
Ph: (207) 317-1102 | Madison Martin,
47 Elm St,
North Berwick, ME 03906-6792
Ph: (207) 317-1102 |
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