Pamela Anne Martin, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Kelso, Washington. Her current practice location is
300 Oak St Ste B, Kelso, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 353-5511.
Pamela Anne Martin is licensed to practice in Washington (license number AP61341041) 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 1538705322.
Provider's Profile
| Full Name | Pamela Anne Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 300 Oak St Ste B, Kelso, Washington |
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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: 1538705322
- Provider Enumeration Date: 11/27/2019
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830567429
- Enrollment ID: I20221202000628
Medical Identifiers
Medical identifiers for Pamela Anne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538705322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN00148859 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP61341041 (Washington) | 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. Pamela Anne Martin allows following entities to bill medicare on her behalf.
| Entity Name | Cowlitz Family Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891724506
PECOS PAC ID: 5991696395
Enrollment ID: O20040324000330 |
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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. Pamela Anne 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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Pamela Anne Martin, ARNP
1057 12th Ave,
Longview, WA 98632-2509
Ph: (503) 201-3458 | Pamela Anne Martin, ARNP
300 Oak St Ste B,
Kelso, WA 98626-2304
Ph: (360) 353-5511 |
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