Carleen M Riley-mercado, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. Her current practice location is
300 Lafayette Ave Se Ste 4000, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 685-6922.
Carleen M Riley-mercado is licensed to practice in Michigan (license number 6801113613) 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 1427646983.
Healthcare Provider's Profile
| Full Name | Carleen M Riley-mercado |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 300 Lafayette Ave Se Ste 4000, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427646983
- Provider Enumeration Date: 01/09/2021
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305215518
- Enrollment ID: I20221210000056
Medical Identifiers
Medical identifiers for Carleen M Riley-mercado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427646983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 34008995A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801113613 (Michigan) | 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. Carleen M Riley-mercado allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023056744
PECOS PAC ID: 8921996307
Enrollment ID: O20040308000687 |
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| Entity Name | Mercy Health Partners - Physician Specialist |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922248772
PECOS PAC ID: 2163572991
Enrollment ID: O20090616000615 |
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| Entity Name | Advantage Health/saint Mary's Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279 |
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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. Carleen M Riley-mercado 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 Address | Practice Location Address |
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Carleen M Riley-mercado, LMSW
Po Box 776974,
Chicago, IL 60677-6982
Ph: (231) 672-2119 | Carleen M Riley-mercado, LMSW
300 Lafayette Ave Se Ste 4000,
Grand Rapids, MI 49503-4692
Ph: (616) 685-6922 |
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