Dr Avalon Mertens, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Salem, Massachusetts. Her current practice location is
55 Highland Ave Ste 104, Salem, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 745-4489.
Dr Avalon Mertens is licensed to practice in * (Not Available) (license number ) 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 1689066987.
Physician's Profile
Full Name | Dr Avalon Mertens |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 55 Highland Ave Ste 104, Salem, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689066987
- Provider Enumeration Date: 02/23/2015
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496068918
- Enrollment ID: I20220922000396
Medical Identifiers
Medical identifiers for Dr Avalon Mertens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689066987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 292646 (Massachusetts) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 292646 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Avalon Mertens allows following entities to bill medicare on her behalf.
Entity Name | North Shore Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
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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. Dr Avalon Mertens 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 |
Dr Avalon Mertens, DO 55 Highland Ave Ste 104, Salem, MA 01970-2100 Ph: (978) 745-4489 | Dr Avalon Mertens, DO 55 Highland Ave Ste 104, Salem, MA 01970-2100 Ph: (978) 745-4489 |
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