Dr Carla Michelle Hernandez Mercado, - Medicare General Practice in Toa Baja, PR

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Dr Carla Michelle Hernandez Mercado, is a medicare enrolled "General Practice" physician in Toa Baja, Puerto Rico. Her current practice location is Camino De La Zarzuela Sf-22 Mansion Sur, Toa Baja, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 399-9219.

Dr Carla Michelle Hernandez Mercado is licensed to practice in Puerto Rico (license number 17764) 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 1952636607.

Contact Information

Dr Carla Michelle Hernandez Mercado,
Camino De La Zarzuela Sf-22 Mansion Sur,
Toa Baja, PR 00949-4826
(787) 399-9219
Not Available

Map and Direction




Physician's Profile

Full NameDr Carla Michelle Hernandez Mercado
GenderFemale
SpecialityGeneral Practice
LocationCamino De La Zarzuela Sf-22 Mansion Sur, Toa Baja, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952636607
  • Provider Enumeration Date: 10/14/2009
  • Last Update Date: 09/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3678727518
  • Enrollment ID: I20130131000294

Medical Identifiers

Medical identifiers for Dr Carla Michelle Hernandez Mercado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952636607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 17764 (Puerto Rico)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 Carla Michelle Hernandez Mercado allows following entities to bill medicare on her behalf.
Entity NameMunicipality Of Catano
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174567788
PECOS PAC ID: 6204897416
Enrollment ID: O20041021000287
Entity NamePr Healthcare Management Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780940924
PECOS PAC ID: 5294975793
Enrollment ID: O20130705000067
Entity NameInspira Behavioral Care Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063928596
PECOS PAC ID: 5294863262
Enrollment ID: O20141003000758

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 Carla Michelle Hernandez 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 AddressPractice Location Address
Dr Carla Michelle Hernandez Mercado,
Camino De La Zarzuela Sf-22 Mansion Sur,
Toa Baja, PR 00949-4826

Ph: () -		Dr Carla Michelle Hernandez Mercado,
Camino De La Zarzuela Sf-22 Mansion Sur,
Toa Baja, PR 00949-4826

Ph: (787) 399-9219

Reviews and Comments


General Practice Doctors in Toa Baja, PR

Dr. Mildred Aileen Diaz-sola, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: Ce 11 Calle Dr. Francisco Trelles, Levittown, Toa Baja, PR 00949
Phone: 787-784-1779    
Dr. Jaime J Morel, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3026 Vereda Del Palmar, Toa Baja, PR 00949
Phone: 787-565-7612    Fax: 787-795-7514
Ana Margarita Soto, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: Paseo Cipres # 3097 Levittown, Toa Baja, PR 00949
Phone: 787-795-0991    
Dr. Daisy Malave, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 2043 Paseo Azalea, 2da Ext Levittown, Toa Baja, PR 00949
Phone: 787-459-2347    
Miss Sandra Violeta Soto, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 77 Calle Bruno Cruz, Local Num 1, Toa Baja, PR 00949
Phone: 787-794-1497    Fax: 787-794-1497
Dr. Isaac Gonzalez, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 5ee Calle Parque Munoz Rivera, Toa Baja, PR 00983
Phone: 787-420-6259    
Carmen Ivette Montalvo Quiles, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 600 Dr. Hernan Cortes, A La Orden Shopping 102, Toa Baja, PR 00950
Phone: 787-779-1950    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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