Leecille M Mertz, LPN is a
Licensed Practical Nurse based in Baker City, Oregon. Leecille M Mertz is licensed to practice in Washington (license number 61097501LPN) and her current practice location is
1240 Place St, Baker City, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 519-6647.
NPI number for Leecille M Mertz is 1881290989 and her current mailing address is 516 E 1st St, Aberdeen, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881290989.
Provider's Profile
Full Name | Leecille M Mertz |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1240 Place St, Baker City, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881290989
- Provider Enumeration Date: 12/05/2020
- Last Update Date: 12/05/2020
Medical Identifiers
Medical identifiers for Leecille M Mertz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881290989 | NPI | - | NPPES |
1568477297 | Other | | TREATMENT CENTER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 61097501LPN (Washington) | Primary |
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. Leecille M Mertz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leecille M Mertz, LPN 516 E 1st St, Aberdeen, WA 98520-4106 Ph: () - | Leecille M Mertz, LPN 1240 Place St, Baker City, OR 97814-4040 Ph: (541) 519-6647 |
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