Dr Thomas J Merle, MD - Medicare Thoracic Surgery in Kettering, OH

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Dr Thomas J Merle, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Kettering, Ohio. He went to Ohio State University College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 3533 Southern Blvd, Ste 5650, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 294-3611.

Dr Thomas J Merle is licensed to practice in Ohio (license number 35055260) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730187469.

Contact Information

Dr Thomas J Merle, MD
3533 Southern Blvd, Ste 5650,
Kettering, OH 45429-1264
(937) 294-3611
(937) 294-9010

Map and Direction




Physician's Profile

Full NameDr Thomas J Merle
GenderMale
SpecialityThoracic Surgery
Experience42 Years
Location3533 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Thomas J Merle attended and graduated from Ohio State University College Of Medicine in 1982
  NPI Data:
  • NPI Number: 1730187469
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072418615
  • Enrollment ID: I20040811001446

Medical Identifiers

Medical identifiers for Dr Thomas J Merle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730187469NPI-NPPES
0680213MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 35055260 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kettering Medical CenterKettering, OHHospital
Grandview And Southview HospitalsDayton, OHHospital
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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 Thomas J Merle allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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 Thomas J Merle 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 Thomas J Merle, MD
3533 Southern Blvd, Suite 5650,
Kettering, OH 45429-1264

Ph: (937) 294-3611		Dr Thomas J Merle, MD
3533 Southern Blvd, Ste 5650,
Kettering, OH 45429-1264

Ph: (937) 294-3611

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Kettering, OH

Dr. Bruce Henry Rank, D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd, Suite 5650, Kettering, OH 45429
Phone: 937-294-3611    Fax: 937-294-9010
Dr. Jeffrey Keith Hoffman, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429
Phone: 937-297-6800    Fax: 937-297-6810
Rachel Herman, MPAS, PA-C
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 3533 Southern Blvd Ste 5650, Kettering, OH 45429
Phone: 937-294-3611    
Dr. Peter M Pavlina, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd, Ste 5650, Kettering, OH 45429
Phone: 937-294-3611    Fax: 937-294-9010

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.