Ms Stacy Ann Martin, MD - Medicare Emergency Medicine in American Fork, UT

Ms Stacy Ann Martin, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in American Fork, Utah. Her current practice location is 170 North 1100 East, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 714-6570.

Ms Stacy Ann Martin is licensed to practice in Utah (license number 341513) 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 1891748315.

Contact Information

Ms Stacy Ann Martin, MD
170 North 1100 East,
American Fork, UT 84003
(801) 714-6570
Not Available



Physician's Profile

Full NameMs Stacy Ann Martin
GenderFemale
SpecialityEmergency Medicine - Emergency Medical Services
Location170 North 1100 East, American Fork, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891748315
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 04/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557460706
  • Enrollment ID: I20110121000186

Medical Identifiers

Medical identifiers for Ms Stacy Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891748315NPI-NPPES
491910OtherUTDESERET MUTUAL
97341513101001OtherUTBCBS
107008020102OtherUTSELECT HEALTH
D2015MedicaidUT
870636000MA1OtherUTEDUCATORS MUTUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine EMTL-2020-001 (Guam)Secondary
207P00000XEmergency Medicine MTL-2018-027 (Guam)Secondary
207P00000XEmergency Medicine M-2221 (Guam)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 341513 (Utah)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. Ms Stacy Ann Martin allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians Integrated Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578598199
PECOS PAC ID: 4284548116
Enrollment ID: O20031115000013

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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. Ms Stacy Ann 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
Ms Stacy Ann Martin, MD
Po Box 430,
Spanish Fork, UT 84660-0430

Ph: (866) 898-7136
Ms Stacy Ann Martin, MD
170 North 1100 East,
American Fork, UT 84003

Ph: (801) 714-6570

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Emergency Medicine Doctors in American Fork, UT

Dr. Michael D Jones, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3267    
Todd Jeffrey Davis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 480-213-7512    
Dr. Craig Bruce Cowan Ii, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-4600    
Dr. Nathan G Miller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-4650    
Mr. Dale W Greenwood, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3552    Fax: 801-855-3558
Mr. Michael S Young, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 170 North 1100 East, American Fork, UT 84003
Phone: 801-714-6570    
Dr. Dean W Shelton, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 170 North 1100 East, American Fork, UT 84003
Phone: 801-714-6570    

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