Jacqueline Merrill, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Owensboro, Kentucky. Her current practice location is
1000 Industrial Dr, Owensboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 689-6500.
Jacqueline Merrill is licensed to practice in Kentucky (license number 3014040) 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 1093316747.
Physician's Profile
Full Name | Jacqueline Merrill |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1000 Industrial Dr, Owensboro, Kentucky |
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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: 1093316747
- Provider Enumeration Date: 11/07/2020
- Last Update Date: 01/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082086681
- Enrollment ID: I20230208000793
Medical Identifiers
Medical identifiers for Jacqueline Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093316747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 3014040 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3014040 (Kentucky) | 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. Jacqueline Merrill allows following entities to bill medicare on her behalf.
Entity Name | Green River Regional Mental Health/mental Retardation Board, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285689711 PECOS PAC ID: 4082522396 Enrollment ID: O20040121000007 |
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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. Jacqueline Merrill 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 |
Jacqueline Merrill, APRN 1000 Industrial Dr, Owensboro, KY 42301-8715 Ph: (270) 689-6500 | Jacqueline Merrill, APRN 1000 Industrial Dr, Owensboro, KY 42301-8715 Ph: (270) 689-6500 |
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