Martina A Sannoh, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Brentwood, New York. Her current practice location is
998 Crooked Hill Rd, Brentwood, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 761-3652.
Martina A Sannoh is licensed to practice in New York (license number F406341) 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 1871071746.
Provider's Profile
| Full Name | Martina A Sannoh |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 998 Crooked Hill Rd, Brentwood, New York |
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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: 1871071746
- Provider Enumeration Date: 08/02/2018
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709304041
- Enrollment ID: I20250520001357
Medical Identifiers
Medical identifiers for Martina A Sannoh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871071746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 652205-1 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F406341 (New York) | 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. Martina A Sannoh allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatric Care Medical Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952946386
PECOS PAC ID: 0749616241
Enrollment ID: O20200131000768 |
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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. Martina A Sannoh 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 |
|---|
Martina A Sannoh, PMHNP-BC
998 Crooked Hill Rd Bldg 69,
Brentwood, NY 11717-1019
Ph: (631) 579-3997 | Martina A Sannoh, PMHNP-BC
998 Crooked Hill Rd,
Brentwood, NY 11717-1019
Ph: (631) 761-3652 |
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