Lisa Lynn Martin, M.D.
Individual provider Active NPI Adolescent Medicine (Internal Medicine) Physician · Greencastle, IN
NPI 1821046202 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1821046202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- 01056225A (IN)
- Practice address
- 1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212 - Phone
- (765) 658-2700
- Fax
- (765) 658-2703
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Putnam County Hospital
Practice addresses (Care Compare)
1542 S Bloomington St
Putnam Prompt Care
Greencastle, IN 46135-2212
Phone (765) 655-2686
Hospital & facility affiliations
- Amedisys Home Health
- Putnam County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000580 | IN | Practitioner - Internal Medicine |
6002875044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056225A | IN | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current |
Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Past | Accepting new patients | |
| Putnam County Hospital | Past | Accepting new patients |
Locations
1542 S Bloomington St
Ste 1300
Greencastle, IN 46135
Phone (765) 653-2700
1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556
Interoperability endpoints
- lmartin583249@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 01056225A | IN | Yes |
Addresses
Primary practice location
1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212
Mailing address
1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212
Phone (765) 658-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3422489001 | Other | IN | CIGNA INS. |
| 200380830 | Medicaid | IN |
Other names
- Lisa Lynn Green
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisamartin@pch.allscriptsdirect.net |
Other providers in Greencastle, IN
- Bridgette N Love
- Carl Vincent Lucas
- Warren L Macy
- Lucas Markiewicz
- Katrina Jolene Marshall
- Boitumelo John Edmund Mashala
- Melanie Lynn Maurey
- Lindsay McKinney
- Robin B Mendelsohn
- Cortney Anne Miller
All providers in Greencastle, IN · Adolescent Medicine (Internal Medicine) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.