Mericley Santiago, NP in Fitchburg, MA - Medicare Nurse Practitioner

Mericley Santiago, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Fitchburg, Massachusetts. Her current practice location is 881 Main St Unit 304, Fitchburg, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 731-6072.

Mericley Santiago is licensed to practice in Massachusetts (license number RN282836) 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 1770913410.

Contact Information

	Mericley Santiago, NP
	881 Main St Unit 304, Fitchburg, MA 01420-9019
	(413) 731-6072
	(508) 425-2550

Map and Direction

Provider's Profile

Full Name	Mericley Santiago
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	881 Main St Unit 304, Fitchburg, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770913410
Provider Enumeration Date: 11/15/2013
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4284866393
Enrollment ID: I20140403001448

Medical Identifiers

Medical identifiers for Mericley Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770913410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN282836 (Massachusetts)	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. Mericley Santiago allows following entities to bill medicare on her behalf.

Entity Name	Bostons Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756

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. Mericley Santiago 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
Mericley Santiago, NP 881 Main St Unit 304, Fitchburg, MA 01420-9019 Ph: (413) 731-6072	Mericley Santiago, NP 881 Main St Unit 304, Fitchburg, MA 01420-9019 Ph: (413) 731-6072

Reviews and Comments

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Mericley Santiago, NP - Medicare Nurse Practitioner in Fitchburg, MA