ROBERTA MARTIN
NPI 1972531689
Social Worker in Plymouth, MI
NPI Status: Active since June 29, 2006
Contact Information
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
Phone: (734) 453-5603
Fax: (734) 453-5619
- Individual
- Female
- Years of Experience 31
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERTA MARTIN
This page provides the complete NPI Profile along with additional information for Roberta Martin, a provider established in Plymouth, Michigan with a medical specialization in Social Worker and more than 31 years of experience. The healthcare provider is registered in the NPI registry with number 1972531689 assigned on June 2006. The practitioner's primary taxonomy code is 104100000X with license number 6801068960 (MI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1972531689
- Provider Name
- ROBERTA MARTIN
- Other Name
- ROBERTA MARTIN-BURTNER LMSW, ACSW, CAADC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 42189 ANN ARBOR RD E PLYMOUTH, MI 48170
- Location Phone
- (734) 453-5603
- Location Fax
- (734) 453-5619
- Mailing Address
- 42189 ANN ARBOR RD E PLYMOUTH, MI 48170
- Mailing Phone
- (734) 453-5603
- Mailing Fax
- (734) 453-5619
- Medical School Name
- OTHER
- Graduation Year
- 1995
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2006
- Last Update Date
- 01-09-2013
- Code Navigator
A social worker like Roberta Martin helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6801068960
- License State
- MI
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2689022 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI |
Medicare Participation & PECOS Enrollment Status
Roberta Martin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Roberta Martin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 244321925
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070809000552
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for ROBERTA MARTIN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 5 | 3 | 1 | 6 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 3 | 2 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 3 + 2 + 6 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1972531689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
ACCESS BEHAVIORAL HEALTHCARE LLC
Clinic/Center
(Mental Health (Including Community Mental Health Center))
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MR. JOHN ROBERT KENNER MSW
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MR. MICHAEL NORMAN WIEST LMSW
Social Worker
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
JENNIFER ANN KODRIK
Psychologist
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MRS. SHANNON MARY KELLY LMSW
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
DONALD WARNER MSW
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MR. GARY FRANCIS BESS LMSW
Counselor
(Mental Health)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MR. NORMAN PAUL WIEST MALLP
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MRS. KELLY MARIE LANGE M.A, L.L.P
Psychologist
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MARY BLEYAERT
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
MR. KARL LAWRENCE SENKOWSKI LMSW
Social Worker
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
ACCESS BEHAVIORAL ASSOCIATES LLC
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
KEVIN ROSE PLLC
Social Worker
(Clinical)
42189 ANN ARBOR RD E
PLYMOUTH, MI
ZIP 48170
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972531689, enumerated as an "individual" on June 29, 2006.
The provider is located at 42189 ANN ARBOR RD E PLYMOUTH, MI 48170 and the phone number is (734) 453-5603.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
