Martha Maupin Medlicott, OB/GYN NP - Medicare Nurse Practitioner in San Jose, CA

Martha Maupin Medlicott, OB/GYN NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in San Jose, California. Her current practice location is 276 International Cir, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-6270.

Martha Maupin Medlicott is licensed to practice in California (license number 406171) 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 1023008208.

Contact Information

Martha Maupin Medlicott, OB/GYN NP
276 International Cir,
San Jose, CA 95119-1130
(408) 972-6270
(408) 927-6966



Provider's Profile

Full NameMartha Maupin Medlicott
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location276 International Cir, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023008208
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688770910
  • Enrollment ID: I20070503000290

Medical Identifiers

Medical identifiers for Martha Maupin Medlicott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023008208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 406171 (California)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. Martha Maupin Medlicott allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Martha Maupin Medlicott 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
Martha Maupin Medlicott, OB/GYN NP
4041 Acapulco Dr,
Campbell, CA 95008-3800

Ph: (408) 374-6321
Martha Maupin Medlicott, OB/GYN NP
276 International Cir,
San Jose, CA 95119-1130

Ph: (408) 972-6270

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Nurse Practitioner Nurses in San Jose, CA

Louise Mary Bruce, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1691 The Alameda, San Jose, CA 95126
Phone: 408-287-7526    Fax: 408-971-6963
Jodie Sugiyama, GNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4850 Union Ave, San Jose, CA 95124
Phone: 408-559-5600    
Kera Njenga,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 52 Skytop St Apt 107, San Jose, CA 95134
Phone: 443-827-2023    
Laura J Ohara, R.N., P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124
Phone: 408-358-3573    
Julie Dutton, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130
Phone: 408-963-2400    Fax: 408-963-2472
Thu Lan T Pham, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 751 S Bascom Ave, San Jose, CA 95128
Phone: 408-885-5000    
Jenney Leem Lam, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Jose Figueres Ave Ste 255, San Jose, CA 95116
Phone: 408-223-7474    Fax: 408-223-9339

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