Jeffrey A Merlin, MD - Medicare Emergency Medicine in Mequon, WI

Jeffrey A Merlin, MD is a medicare enrolled "Emergency Medicine" physician in Mequon, Wisconsin. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Physicians Referral Service and his current practice location is 13111 N Port Washington Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 290-6720.

Jeffrey A Merlin is licensed to practice in Wisconsin (license number 62760-20) 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 1174812085.

Contact Information

Jeffrey A Merlin, MD
13111 N Port Washington Rd,
Mequon, WI 53097-2416
(414) 290-6720
(414) 290-6755

Map and Direction




Physician's Profile

Full NameJeffrey A Merlin
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location13111 N Port Washington Rd, Mequon, Wisconsin
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:
  • Jeffrey A Merlin attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2010
  NPI Data:
  • NPI Number: 1174812085
  • Provider Enumeration Date: 03/31/2011
  • Last Update Date: 08/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8921228453
  • Enrollment ID: I20181228000746

Medical Identifiers

Medical identifiers for Jeffrey A Merlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174812085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 62760-20 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Referral Service79118014102406

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. Jeffrey A Merlin allows following entities to bill medicare on his behalf.
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953

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. Jeffrey A Merlin 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
Jeffrey A Merlin, MD
111 E Wisconsin Ave, Suite 2000,
Milwaukee, WI 53202-4815

Ph: (414) 290-6720
Jeffrey A Merlin, MD
13111 N Port Washington Rd,
Mequon, WI 53097-2416

Ph: (414) 290-6720

Reviews and Comments


Emergency Medicine Doctors in Mequon, WI

Bridgett R Moss, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092
Phone: 262-518-1900    Fax: 262-518-5052
Howard J Croft, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10556 N Port Washington Rd # 204, Mequon, WI 53092
Phone: 262-292-1892    Fax: 262-292-1255
Edward N Barthell, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 E Barkwood Ct, Mequon, WI 53092
Phone: 414-290-6720    Fax: 414-290-6755
Dr. Mark W Francis, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10614 N Port Washington Rd, Mequon, WI 53092
Phone: 262-834-0123    
Angela Petrie, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092
Phone: 262-518-1950    
Meghan M. Fabrizi, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097
Phone: 414-290-6720    Fax: 414-290-6755

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.