Terri M Martin, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Terri M Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. She graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Hattiesburg Clinic Pa, Usa Health Anesthesia Billing Services Llc and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-3606.

Terri M Martin is licensed to practice in Mississippi (license number R850497) 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 1417067224.

Contact Information

	Terri M Martin, CRNA
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 261-3606
	(601) 579-5166

Map and Direction

Provider's Profile

Full Name	Terri M Martin
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
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:

Terri M Martin graduated from nursing school in 1999

NPI Data:

NPI Number: 1417067224
Provider Enumeration Date: 08/30/2006
Last Update Date: 08/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3678654902
Enrollment ID: I20080112000167

Medical Identifiers

Medical identifiers for Terri M Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417067224	NPI	-	NPPES
00126213	Medicaid	MS
640507572RY	Other	MS	AMERICAN ADMIN GROUP
1419591	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R850497 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Usa Health University Hospital	Mobile, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492
Usa Health Anesthesia Billing Services Llc	1153659123	143

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. Terri M Martin allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Southern Eye Surgery Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417112277 PECOS PAC ID: 9931278637 Enrollment ID: O20080521000442

Entity Name	Southern Eye Surgery And Laser Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295244226 PECOS PAC ID: 5496030595 Enrollment ID: O20171114002076

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. Terri M 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
Terri M Martin, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606	Terri M Martin, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Terri M Martin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS