Ms Susan Ellen Merrill, PA-C in Charlotte, NC - Medicare Physician Assistant

Ms Susan Ellen Merrill, PA-C is a medicare enrolled "Physician Assistant" in Charlotte, North Carolina. Her current practice location is 6911-100 Shannon Willow Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 529-4101.

Ms Susan Ellen Merrill is licensed to practice in North Carolina (license number 1016582) 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 1760462485.

Contact Information

	Ms Susan Ellen Merrill, PA-C
	6911-100 Shannon Willow Rd, Charlotte, NC 28226
	(704) 529-4101
	(704) 529-6655

Map and Direction

Provider's Profile

Full Name	Ms Susan Ellen Merrill
Gender	Female
Speciality	Physician Assistant
Location	6911-100 Shannon Willow Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760462485
Provider Enumeration Date: 01/19/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6103905153
Enrollment ID: I20080502000243

Medical Identifiers

Medical identifiers for Ms Susan Ellen Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760462485	NPI	-	NPPES
8101095	Medicaid	NC
1016582	Other		NCCPA
101951	Other	NC	NC LIC #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1016582 (North Carolina)	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. Ms Susan Ellen Merrill 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
Ms Susan Ellen Merrill, PA-C 6911-100 Shannon Willow Rd, Charlotte, NC 28226 Ph: (704) 529-4101	Ms Susan Ellen Merrill, PA-C 6911-100 Shannon Willow Rd, Charlotte, NC 28226 Ph: (704) 529-4101

Reviews and Comments

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Ms Susan Ellen Merrill, PA-C - Medicare Physician Assistant in Charlotte, NC