Alexander Mervenne, CAA in Grand Rapids, MI - Medicare Anesthesiologist Assistant

Alexander Mervenne, CAA is a medicare enrolled "Anesthesiologist Assistant" in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-4200.

Alexander Mervenne is licensed to practice in Michigan (license number 789789817) 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 1497447262.

Contact Information

	Alexander Mervenne, CAA
	100 Michigan St Ne, Grand Rapids, MI 49503-2560
	(616) 364-4200
	(616) 364-7347

Map and Direction

Provider's Profile

Full Name	Alexander Mervenne
Gender	Male
Speciality	Anesthesiologist Assistant
Location	100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497447262
Provider Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4385004977
Enrollment ID: I20230713003899

Medical Identifiers

Medical identifiers for Alexander Mervenne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497447262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	789789817 (Michigan)	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. Alexander Mervenne allows following entities to bill medicare on his behalf.

Entity Name	West Michigan Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040127000018

Entity Name	Anesthesia Medical Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722

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. Alexander Mervenne 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
Alexander Mervenne, CAA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200	Alexander Mervenne, CAA 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (616) 364-4200

Reviews and Comments

Anesthesiologist Assistant Nurses in Grand Rapids, MI

Mr. Jeffrey Ryan Hall, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Jason Dipman, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200
Meghan Fowler, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Ms. Loredana Berkowitz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Andrea Mantel, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-284-3132
Camille Meadows, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347
Mr. Lonnie Meadows, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 Fax: 616-364-7347

Alexander Mervenne, CAA - Medicare Anesthesiologist Assistant in Grand Rapids, MI