Mrs Lacey Renee Mersino, CPNP-AC in Alpena, MI

Mrs Lacey Renee Mersino, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Alpena, Michigan. Her current practice location is 1501 W Chisholm St, Alpena, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 356-7000.

Mrs Lacey Renee Mersino is licensed to practice in Michigan (license number 4704279003) 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 1700279494.

Contact Information

	Mrs Lacey Renee Mersino, CPNP-AC
	1501 W Chisholm St, Alpena, MI 49707-1401
	(989) 356-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Renee Mersino
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1501 W Chisholm St, Alpena, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700279494
Provider Enumeration Date: 03/05/2015
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1850610858
Enrollment ID: I20150424000388

Medical Identifiers

Medical identifiers for Mrs Lacey Renee Mersino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700279494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	36200 (Tennessee)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	4704279003 (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. Mrs Lacey Renee Mersino allows following entities to bill medicare on her behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

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. Mrs Lacey Renee Mersino 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
Mrs Lacey Renee Mersino, CPNP-AC 1501 W Chisholm St, Alpena, MI 49707-1401 Ph: () -	Mrs Lacey Renee Mersino, CPNP-AC 1501 W Chisholm St, Alpena, MI 49707-1401 Ph: (989) 356-7000

Reviews and Comments

Nurse Practitioner Nurses in Alpena, MI

Mrs. Dorothy Susan Pioszak, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 M 32 W, Alpena, MI 49707 Phone: 989-354-9830
Mrs. Rachel Savage, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7000
Fawn Lea Munro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 460 Long Rapids Plz, Alpena, MI 49707 Phone: 989-356-0141 Fax: 989-354-5670
Courtney Witulski, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1185 Us Highway 23 N, Alpena, MI 49707 Phone: 989-356-4049
Amy L Kane, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 346 Long Rapids Plz, Alpena, MI 49707 Phone: 989-358-3500 Fax: 989-358-3733
Garrett R Mead, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7000
Lauren Krueger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Woods Cir Ste 200, Alpena, MI 49707 Phone: 989-358-7956

Mrs Lacey Renee Mersino, CPNP-AC - Medicare Nurse Practitioner in Alpena, MI