Merritt B Vise, is a medicare enrolled "Occupational Therapist" provider in Leakesville, Mississippi. His current practice location is
1300 Melody Ln, Leakesville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 394-2331.
Merritt B Vise is licensed to practice in Mississippi (license number OT-4125) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518715028.
Healthcare Provider's Profile
Full Name | Merritt B Vise |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 1300 Melody Ln, Leakesville, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518715028
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365987294
- Enrollment ID: I20240715003481
Medical Identifiers
Medical identifiers for Merritt B Vise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518715028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT-4125 (Mississippi) | 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. Merritt B Vise allows following entities to bill medicare on his behalf.
Provider Name | Memorial Hospital At Gulfport |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
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Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
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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. Merritt B Vise 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 |
Merritt B Vise, 1300 Melody Ln, Leakesville, MS 39451-6530 Ph: (601) 394-2331 | Merritt B Vise, 1300 Melody Ln, Leakesville, MS 39451-6530 Ph: (601) 394-2331 |
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