Tracy Martini, NP is a medicare enrolled "Nurse Practitioner - Family" in Lincoln University, Pennsylvania. Her current practice location is
104 Borden Way, Lincoln University, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 255-3641.
Tracy Martini is licensed to practice in Pennsylvania (license number SP017021) 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 1447708821.
Provider's Profile
| Full Name | Tracy Martini |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 104 Borden Way, Lincoln University, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447708821
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 12/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810325818
- Enrollment ID: I20200324003549
Medical Identifiers
Medical identifiers for Tracy Martini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447708821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | SP017021 (Pennsylvania) | 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. Tracy Martini allows following entities to bill medicare on her behalf.
| Entity Name | Ear, Nose, And Throat Clinic Of Coffee Co. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891750774 PECOS PAC ID: 4486698578 Enrollment ID: O20050620000687 |
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| Entity Name | Restorixhealth At-home Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255974689 PECOS PAC ID: 8123455011 Enrollment ID: O20201102001650 |
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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. Tracy Martini 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 |
Tracy Martini, NP 104 Borden Way, Lincoln University, PA 19352-1235 Ph: (610) 255-3641 | Tracy Martini, NP 104 Borden Way, Lincoln University, PA 19352-1235 Ph: (610) 255-3641 |
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