Mark Duane Merrick, LMFT is a
Counselor - Mental Health based in Myrtle Creek, Oregon. Mark Duane Merrick is licensed to practice in Oregon (license number T1064) and his current practice location is
3238 Gazley Rd, Myrtle Creek, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 839-2220.
NPI number for Mark Duane Merrick is 1588174932 and his current mailing address is Po Box 822, Canyonville, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588174932.
Healthcare Provider's Profile
Full Name | Mark Duane Merrick |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 3238 Gazley Rd, Myrtle Creek, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588174932
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 10/11/2017
Medical Identifiers
Medical identifiers for Mark Duane Merrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588174932 | NPI | - | NPPES |
LMFT80920 | Other | CA | LMFT |
T1064 | Other | OR | LMFT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LMFT80920 (California) | Secondary |
101YM0800X | Counselor - Mental Health | T1064 (Oregon) | Primary |
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. Mark Duane Merrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Duane Merrick, LMFT Po Box 822, Canyonville, OR 97417-0822 Ph: (541) 839-2220 | Mark Duane Merrick, LMFT 3238 Gazley Rd, Myrtle Creek, OR 97457-9419 Ph: (541) 839-2220 |
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