Mr Clyde Donald Martin Jr, CRNA in Manchester, NH - Medicare Nurse Anesthetist, Certified Registered

Mr Clyde Donald Martin Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Manchester, New Hampshire. His current practice location is 87 Mcgregor St, Ste. 1400, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 647-9325.

Mr Clyde Donald Martin Jr is licensed to practice in North Carolina (license number 4017) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184604670.

Contact Information

	Mr Clyde Donald Martin Jr, CRNA
	87 Mcgregor St, Ste. 1400, Manchester, NH 03102-3765
	(603) 647-9325
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Clyde Donald Martin Jr
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	87 Mcgregor St, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184604670
Provider Enumeration Date: 01/19/2006
Last Update Date: 06/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8325118037
Enrollment ID: I20101103000946

Medical Identifiers

Medical identifiers for Mr Clyde Donald Martin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184604670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024166498 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	4017 (North Carolina)	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. Mr Clyde Donald Martin Jr allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004

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. Mr Clyde Donald Martin Jr 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
Mr Clyde Donald Martin Jr, CRNA 68 S Service Rd Ste 350, Melville, NY 11747-2358 Ph: (865) 342-8940	Mr Clyde Donald Martin Jr, CRNA 87 Mcgregor St, Ste. 1400, Manchester, NH 03102-3765 Ph: (603) 647-9325

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Manchester, NH

Bethany Peattie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 Fax: 434-517-3021
Laura Slason Dobens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180
Kellie Cosgrove, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500
Ian Doherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way Ste 200, Manchester, NH 03103 Phone: 603-663-2315
Michael Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545
Brenda S Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180
Concetta Mcalister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180

Mr Clyde Donald Martin Jr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Manchester, NH