Martina Marie Travis, in Philadelphia, PA - Medicare Nurse Anesthetist, Certified Registered

Martina Marie Travis, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3326.

Martina Marie Travis is licensed to practice in Pennsylvania (license number RN664574) 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 1760266548.

Contact Information

	Martina Marie Travis,
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-3326
	Not Available

Map and Direction

Provider's Profile

Full Name	Martina Marie Travis
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760266548
Provider Enumeration Date: 08/22/2023
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 5698126308
Enrollment ID: I20240108000463

Medical Identifiers

Medical identifiers for Martina Marie Travis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760266548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	L1-0045195 (Delaware)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN664574 (Pennsylvania)	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 Marie Travis allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053366377 PECOS PAC ID: 9537064498 Enrollment ID: O20031203000744

Entity Name	Bayhealth Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467546135 PECOS PAC ID: 1658364740 Enrollment ID: O20040405001600

Entity Name	Bayhealth Medical Center, Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1023006434 PECOS PAC ID: 1658364740 Enrollment ID: O20160527000094

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 Marie Travis 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 Marie Travis, 3500 N Broad St Rm 1a, Philadelphia, PA 19140-4106 Ph: (215) 707-2411	Martina Marie Travis, 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3326

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Rosabelle Mccullough, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104 Phone: 215-349-8310
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028

Martina Marie Travis, - Medicare Nurse Anesthetist, Certified Registered in Philadelphia, PA