Mikel M Merritt, PHD is a
Psychologist - Clinical based in Randolph Afb, Texas. Mikel M Merritt is licensed to practice in Nebraska (license number 682) and his current practice location is
359 Mdg, 221 3rd St W, Randolph Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 652-2448.
NPI number for Mikel M Merritt is 1427158203 and his current mailing address is 2729 Socorro Loop Apt B, Holloman Afb, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427158203.
Healthcare Provider's Profile
| Full Name | Mikel M Merritt |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 359 Mdg, Randolph Afb, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427158203
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 06/11/2018
Medical Identifiers
Medical identifiers for Mikel M Merritt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427158203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 682 (Nebraska) | 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. Mikel M Merritt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikel M Merritt, PHD
2729 Socorro Loop Apt B,
Holloman Afb, NM 88330-7124
Ph: (505) 572-5676 | Mikel M Merritt, PHD
359 Mdg, 221 3rd St W,
Randolph Afb, TX 78150
Ph: (210) 652-2448 |
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