Dr Shailer Brett Martin Ii, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Greenville, Kentucky. His current practice location is
420 Hopkinsville St, Greenville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 377-2440.
Dr Shailer Brett Martin Ii is licensed to practice in Kentucky (license number 285252) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043849367.
Healthcare Provider's Profile
| Full Name | Dr Shailer Brett Martin Ii |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 420 Hopkinsville St, Greenville, Kentucky |
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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: 1043849367
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365866076
- Enrollment ID: I20230301001489
Medical Identifiers
Medical identifiers for Dr Shailer Brett Martin Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043849367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 1204 (Wisconsin) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 285252 (Kentucky) | 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. Dr Shailer Brett Martin Ii allows following entities to bill medicare on his behalf.
| Provider Name | Gundersen Clinic Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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| Provider Name | Gundersen Lutheran Medical Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Dr Shailer Brett Martin Ii 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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Dr Shailer Brett Martin Ii, DPM
Po Box 23229,
Owensboro, KY 42304-3229
Ph: (270) 688-1330 | Dr Shailer Brett Martin Ii, DPM
420 Hopkinsville St,
Greenville, KY 42345-1102
Ph: (270) 377-2440 |
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