MARIO D. MARTINEZ M.D. NPI 1801183181

Family Medicine in Selma, CA

NPI 1801183181 Individual Male Years of Experience 11 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MARIO MARTINEZ

Mario Martinez is a primary care provider established in Selma, California and his medical specialization is family medicine with more than 11 years of experience. The NPI number of Mario Martinez is 1801183181 and was assigned on July 2011. The practitioner's primary taxonomy code is 207Q00000X with license number A126016 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

A primary care provider (PCP) like Mario D. Martinez M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Mario Martinez is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Mario Martinez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Kaweah Delta Medical Center.

NPI

1801183181

Provider Name MARIO D. MARTINEZ M.D.
Provider Location Address1041 ROSE AVE SELMA, CA 93662
Provider Mailing Address2625 E DIVISADERO ST FRESNO, CA 93721
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-07-2011
Last Update Date10-23-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.A126016
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

MARIO D. MARTINEZ M.D.
1041 ROSE AVE
SELMA, CA
ZIP 93662
Phone: (559) 856-6090
Fax: (559) 856-6092

Get Directions


Mailing Address

MARIO D. MARTINEZ M.D.
2625 E DIVISADERO ST
FRESNO, CA
ZIP 93721
Phone: (559) 443-2682
Fax: (559) 443-2681



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1850529645
PECOS Enrollment IDI20140125000297
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mario Martinez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KAWEAH DELTA MEDICAL CENTER400 W MINERAL KING AVE
VISALIA, CA 93291
(559) 624-2000Acute Care Hospitals50057

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740227313 THOMAS LAUCK MD
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 891-6345
1497778260 BRUNO GARCIA M.D.
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 783-1181
1003964552GARCIA MEDICAL CORPORATION
Organization
Obstetrics & Gynecology1041 ROSE AVE
SELMA, CA 93662
(559) 783-1181
1508169954DR. VIVIAN CAYME TORIO D.O.
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 499-6450
1881600781 MARTHA GARZA GARCIA MD
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 891-6345
1508974148 ALEXANDER C. MOIR M.D.
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 891-6345
1346371895 YE MIN M.D.
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 891-6415
1720062854DR. DOROTHEA DEE WHITE DNP, FNP
Individual
Nurse Practitioner1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090
1336111947MRS. SOCORRO MARQUEZ DIAZ FNP
Individual
Nurse Practitioner (Family)1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090
1750498580 JENNIFER ANN BURNETT MS, MD
Individual
Family Medicine1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090
1467823567 XEE HENG FNP
Individual
Nurse Practitioner1041 ROSE AVE
SELMA, CA 93662
(559) 856-6110
1538660188 LEONCIO RUIZ
Individual
Behavior Technician1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090
1225668098 PRISCILLA CAREY NP
Individual
Nurse Practitioner1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090
1265530018REEDLEY COMMUNITY HOSPITAL
Organization
Clinic/Center (Rural Health)1041 ROSE AVE
SELMA, CA 93662
(559) 587-4349
1447479928MS. KATHLEEN KELLEY FNP
Individual
Nurse Practitioner (Family)1041 ROSE AVE
SELMA, CA 93662
(559) 856-6090

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.