Teresa Antoinette Martin, WHNP, CNM, RN is a medicare enrolled "Obstetrics & Gynecology" in Auburn, California. Her current practice location is
11795 Education St Ste 222, Auburn, California. You can reach out to her office (for appointments etc.) via phone at
(530) 886-6660.
Teresa Antoinette Martin is licensed to practice in California (license number 95166095) 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 1902638190.
Provider's Profile
| Full Name | Teresa Antoinette Martin |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 11795 Education St Ste 222, Auburn, California |
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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: 1902638190
- Provider Enumeration Date: 08/15/2024
- Last Update Date: 06/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668903659
- Enrollment ID: I20241001003495
Medical Identifiers
Medical identifiers for Teresa Antoinette Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902638190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | NP95031918 (California) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | NP95031918 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 95166095 (California) | 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. Teresa Antoinette Martin allows following entities to bill medicare on her behalf.
| Entity Name | James Sandidge Dunn Jr Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124046560
PECOS PAC ID: 4789687849
Enrollment ID: O20090113000574 |
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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. Teresa Antoinette 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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Teresa Antoinette Martin, WHNP, CNM, RN
Po Box 3170,
Bowman, CA 95604-3170
Ph: (919) 360-2308 | Teresa Antoinette Martin, WHNP, CNM, RN
11795 Education St Ste 222,
Auburn, CA 95602-2469
Ph: (530) 886-6660 |
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