Mr Benny Ray Martin, PHD - Medicare Psychologist in Atascadero, CA

Mr Benny Ray Martin, PHD is a medicare enrolled "Psychologist - Clinical" provider in Atascadero, California. His current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to his office (for appointments etc.) via phone at (805) 468-2000.

Mr Benny Ray Martin is licensed to practice in Washington (license number PY00003320) 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 1124150180.

Contact Information

Mr Benny Ray Martin, PHD
10333 El Camino Real,
Atascadero, CA 93422-5808
(805) 468-2000
(805) 468-6011



Healthcare Provider's Profile

Full NameMr Benny Ray Martin
GenderMale
SpecialityPsychologist - Clinical
Location10333 El Camino Real, Atascadero, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124150180
  • Provider Enumeration Date: 03/12/2007
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153460605
  • Enrollment ID: I20091203000390

Medical Identifiers

Medical identifiers for Mr Benny Ray Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124150180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY22824 (California)Secondary
103TC0700XPsychologist - Clinical PY00003320 (Washington)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. Mr Benny Ray Martin allows following entities to bill medicare on his behalf.
Entity NameDepartment Of State Hospitals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305

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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. Mr Benny Ray 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
Mr Benny Ray Martin, PHD
10333 El Camino Real,
Atascadero, CA 93422-5808

Ph: () -
Mr Benny Ray Martin, PHD
10333 El Camino Real,
Atascadero, CA 93422-5808

Ph: (805) 468-2000

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Psychologist in Atascadero, CA

Jeffrey Franz Teuber, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93423
Phone: 805-468-2000    Fax: 805-466-6011
Dr. Timothy Edward Nastasi, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93422
Phone: 805-468-2000    Fax: 805-468-2000
Gina Marie Najolia, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93422
Phone: 805-468-2000    
Emily Rosten, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93423
Phone: 805-468-2000    Fax: 805-466-6011
Darren Kenneth Smith, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93422
Phone: 805-468-2170    
Dr. Kevin M Perry, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10333 El Camino Real, Atascadero, CA 93422
Phone: 805-468-3757    
Suzanne C Maclelland, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 7305 Morro Rd Ste 201, Atascadero, CA 93422
Phone: 805-203-6421    

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