Mr Monte G Merrell, MD is a medicare enrolled "General Practice" physician in Lakeside, Arizona. His current practice location is
300 W. White Mountain Blvd. Suite D, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 368-4547.
Mr Monte G Merrell is licensed to practice in Arizona (license number 58018) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295900165.
Physician's Profile
Full Name | Mr Monte G Merrell |
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Gender | Male |
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Speciality | General Practice |
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Location | 300 W. White Mountain Blvd. Suite D, Lakeside, Arizona |
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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: 1295900165
- Provider Enumeration Date: 04/23/2008
- Last Update Date: 01/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779618376
- Enrollment ID: I20200604001991
Medical Identifiers
Medical identifiers for Mr Monte G Merrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295900165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 107866 (Minnesota) | Secondary |
208D00000X | General Practice | 58018 (Arizona) | 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. Mr Monte G Merrell allows following entities to bill medicare on his behalf.
Entity Name | Premier Ob/gyn Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487035382 PECOS PAC ID: 7618219973 Enrollment ID: O20190507001418 |
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Entity Name | Sip Home Systems - Mesa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780215681 PECOS PAC ID: 7618306820 Enrollment ID: O20200408003204 |
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Entity Name | Sip Home Systems - Sun City Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801427844 PECOS PAC ID: 4981035193 Enrollment ID: O20200501002790 |
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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. Mr Monte G Merrell 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 |
Mr Monte G Merrell, MD 300 W. White Mountain Blvd. Suite D, Lakeside, AZ 85929-7014 Ph: (928) 368-4547 | Mr Monte G Merrell, MD 300 W. White Mountain Blvd. Suite D, Lakeside, AZ 85929-7014 Ph: (928) 368-4547 |
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