Stacey Marie Mermigos, in Portland, OR - Medicare Registered Nurse

Stacey Marie Mermigos, is a medicare enrolled "Registered Nurse" in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-5300.

Stacey Marie Mermigos is licensed to practice in Pennsylvania (license number RN719449) 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 1700598927.

Contact Information

	Stacey Marie Mermigos,
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-5300
	(503) 494-6519

Map and Direction

Provider's Profile

Full Name	Stacey Marie Mermigos
Gender	Female
Speciality	Registered Nurse
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700598927
Provider Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9931571916
Enrollment ID: I20230221002404

Medical Identifiers

Medical identifiers for Stacey Marie Mermigos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700598927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN719449 (Pennsylvania)	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 Marie Mermigos allows following entities to bill medicare on her behalf.

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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 Marie Mermigos 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 Marie Mermigos, 7600 Montgomery Blvd Ne Apt 1048, Albuquerque, NM 87109-1524 Ph: () -	Stacey Marie Mermigos, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-5300

Reviews and Comments

Registered Nurse Nurses in Portland, OR

Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676
Julie Liddicoat, CHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 3rd Floor, Portland, OR 97204 Phone: 503-988-3417 Fax: 503-988-3419
Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500

Stacey Marie Mermigos, - Medicare Registered Nurse in Portland, OR