Stacey M Merrill, APRN in Pontiac, IL - Medicare Nurse Practitioner

Stacey M Merrill, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pontiac, Illinois. Her current practice location is 2500 W Reynolds St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 842-2828.

Stacey M Merrill is licensed to practice in Illinois (license number 209020094) 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 1760012637.

Contact Information

	Stacey M Merrill, APRN
	2500 W Reynolds St, Pontiac, IL 61764-9784
	(815) 842-2828
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey M Merrill
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 W Reynolds St, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760012637
Provider Enumeration Date: 01/20/2020
Last Update Date: 01/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4183055155
Enrollment ID: I20200506001970

Medical Identifiers

Medical identifiers for Stacey M Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760012637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209020094 (Illinois)	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. Stacey M Merrill allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Stacey M 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
Stacey M Merrill, APRN 1627 Chestnut St, Ottawa, IL 61350-1315 Ph: (815) 685-4419	Stacey M Merrill, APRN 2500 W Reynolds St, Pontiac, IL 61764-9784 Ph: (815) 842-2828

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, IL

Mrs. Deborah L Nielsen, R.N. A.P.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5343 Fax: 815-844-5715
Cheryle Diana Strother, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152
Andrea Mclean, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St # 205, Pontiac, IL 61764 Phone: 815-842-4501
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309
Andrew John Farraher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764 Phone: 815-844-2001

Stacey M Merrill, APRN - Medicare Nurse Practitioner in Pontiac, IL