Mrs Leellon Louise Martin, NP in Millington, TN

Mrs Leellon Louise Martin, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Millington, Tennessee. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc and her current practice location is 5831 Port Haven Rd, Millington, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 849-4108.

Mrs Leellon Louise Martin is licensed to practice in Tennessee (license number 36006) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386497865.

Contact Information

	Mrs Leellon Louise Martin, NP
	5831 Port Haven Rd, Millington, TN 38053-8413
	(901) 849-4108
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Leellon Louise Martin
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	5831 Port Haven Rd, Millington, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Leellon Louise Martin graduated from nursing school in 2023

NPI Data:

NPI Number: 1386497865
Provider Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9830633692
Enrollment ID: I20240703001863

Medical Identifiers

Medical identifiers for Mrs Leellon Louise Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386497865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	36006 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	529

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. Mrs Leellon Louise Martin allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

Entity Name	Kejac Ventures Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265919005 PECOS PAC ID: 9335490325 Enrollment ID: O20181002001250

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345

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. Mrs Leellon Louise 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
Mrs Leellon Louise Martin, NP 5831 Port Haven Rd, Millington, TN 38053-8413 Ph: (901) 849-4108	Mrs Leellon Louise Martin, NP 5831 Port Haven Rd, Millington, TN 38053-8413 Ph: (901) 849-4108

Reviews and Comments

Nurse Practitioner Nurses in Millington, TN

Marde M Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8225 Highway 51 North, Millington, TN 38053 Phone: 901-222-9948
Courtney Ann Makcen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8222 Us Highway 51 N, Millington, TN 38053 Phone: 901-873-4242 Fax: 901-873-4269
Sharon Moore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8081 Us Highway 51 N, Millington, TN 38053 Phone: 901-873-4194 Fax: 901-347-1333
Karen P Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931
Mrs. Elaina Cubine Hogan, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Primary Care Pediatrics, 8222 Hwy 51 N, Millington, TN 38053 Phone: 901-873-4242 Fax: 901-873-4269
Janelle Marie Scullark-morose, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd, Millington, TN 38053 Phone: 901-333-3333
Leeza Turri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4772 Navy Rd Ste A, Millington, TN 38053 Phone: 901-873-0930 Fax: 901-873-0931

Mrs Leellon Louise Martin, NP - Medicare Nurse Practitioner in Millington, TN