Merlita Cabcungan Guerrero, NP - Medicare Nurse Practitioner in Bayville, NJ

Merlita Cabcungan Guerrero, NP is a medicare enrolled "Nurse Practitioner" in Bayville, New Jersey. Her current practice location is 53 Pelican Dr, Bayville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 930-3626.

Merlita Cabcungan Guerrero is licensed to practice in New Jersey (license number 26NJ14940800) 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 1346012416.

Contact Information

Merlita Cabcungan Guerrero, NP
53 Pelican Dr,
Bayville, NJ 08721-1654
(732) 930-3626
Not Available

Map and Direction




Provider's Profile

Full NameMerlita Cabcungan Guerrero
GenderFemale
SpecialityNurse Practitioner
Location53 Pelican Dr, Bayville, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346012416
  • Provider Enumeration Date: 10/23/2023
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234587098
  • Enrollment ID: I20231205000848

Medical Identifiers

Medical identifiers for Merlita Cabcungan Guerrero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346012416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ14940800 (New Jersey)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. Merlita Cabcungan Guerrero allows following entities to bill medicare on her behalf.
Entity NameClare Medical Of New Jersey, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255718276
PECOS PAC ID: 8325369895
Enrollment ID: O20150609001994
Entity NameOcean Family & Geriatric Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740321645
PECOS PAC ID: 2567729171
Enrollment ID: O20171206000879
Entity NameSignify Health Medical Associates Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174187728
PECOS PAC ID: 4284966896
Enrollment ID: O20191031002559

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. Merlita Cabcungan Guerrero 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
Merlita Cabcungan Guerrero, NP
53 Pelican Dr,
Bayville, NJ 08721-1654

Ph: (732) 930-3626
Merlita Cabcungan Guerrero, NP
53 Pelican Dr,
Bayville, NJ 08721-1654

Ph: (732) 930-3626

Reviews and Comments


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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).

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