Dr Breann Nicole Martin, PSYD - Medicare Psychologist in Eugene, OR

Dr Breann Nicole Martin, PSYD is a medicare enrolled "Psychologist - Forensic" provider in Eugene, Oregon. Her current practice location is 1400 Executive Pkwy Ste 260, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (458) 215-5397.

Dr Breann Nicole Martin is licensed to practice in Oregon (license number 2730) 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 1053838581.

Contact Information

Dr Breann Nicole Martin, PSYD
1400 Executive Pkwy Ste 260,
Eugene, OR 97401-7121
(458) 215-5397
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Breann Nicole Martin
GenderFemale
SpecialityPsychologist - Forensic
Location1400 Executive Pkwy Ste 260, Eugene, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053838581
  • Provider Enumeration Date: 08/25/2017
  • Last Update Date: 04/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204196967
  • Enrollment ID: I20180129001787

Medical Identifiers

Medical identifiers for Dr Breann Nicole Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053838581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2730 (Oregon)Secondary
103TF0200XPsychologist - Forensic 2730 (Oregon)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 Breann Nicole Martin allows following entities to bill medicare on her behalf.
Entity NameDhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508802489
PECOS PAC ID: 0547170383
Enrollment ID: O20040130000453

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 Breann Nicole 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 AddressPractice Location Address
Dr Breann Nicole Martin, PSYD
366 Greenfield Ave,
Eugene, OR 97404-1679

Ph: (714) 767-2949
Dr Breann Nicole Martin, PSYD
1400 Executive Pkwy Ste 260,
Eugene, OR 97401-7121

Ph: (458) 215-5397

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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