Jonathan Martinez, - Medicare Pediatrics in Minot Afb, ND

Jonathan Martinez, is a medicare enrolled "Pediatrics" physician in Minot Afb, North Dakota. His current practice location is 10 Missile Ave, Minot Afb, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 723-5491.

Jonathan Martinez is licensed to practice in Nebraska (license number 29746) 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 1659753952.

Contact Information

Jonathan Martinez,
10 Missile Ave,
Minot Afb, ND 58705-5003
(701) 723-5491
(701) 723-5391



Physician's Profile

Full NameJonathan Martinez
GenderMale
SpecialityPediatrics
Location10 Missile Ave, Minot Afb, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659753952
  • Provider Enumeration Date: 06/23/2015
  • Last Update Date: 04/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2961702071
  • Enrollment ID: I20151121000237

Medical Identifiers

Medical identifiers for Jonathan Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659753952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 38529 (South Carolina)Secondary
208000000XPediatrics 29746 (Nebraska)Primary

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. Jonathan Martinez 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
Jonathan Martinez,
3551 Roger Brooke Dr,
San Antonio, TX 78234-4504

Ph: (210) 916-0887
Jonathan Martinez,
10 Missile Ave,
Minot Afb, ND 58705-5003

Ph: (701) 723-5491

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› Verified 9 days ago


Pediatrics Doctors in Minot Afb, ND

Tara Robare,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5633    Fax: 701-723-5908
Dr. Joshua Mark Cummock, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5190    
Dr. Susan Lynne Farber, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missle Ave, Minot Afb, ND 58705
Phone: 701-723-5454    Fax: 701-723-5769

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