Michael J Mertens, MD - Medicare Family Practice in Mt Juliet, TN

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Michael J Mertens, MD is a medicare enrolled "Family Medicine" physician in Mt Juliet, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Heritage Medical Associates Pc and his current practice location is 325 Old Pleasant Grove Rd, Mt Juliet, Tennessee. You can reach out to his office (for appointments etc.) via phone at (629) 255-2073.

Michael J Mertens is licensed to practice in Tennessee (license number 30767) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346292257.

Contact Information

Michael J Mertens, MD
325 Old Pleasant Grove Rd,
Mt Juliet, TN 37122-4493
(629) 255-2073
(629) 255-4162

Map and Direction




Physician's Profile

Full NameMichael J Mertens
GenderMale
SpecialityFamily Practice
Experience27 Years
Location325 Old Pleasant Grove Rd, Mt Juliet, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael J Mertens attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1346292257
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901948041
  • Enrollment ID: I20100127000595

Medical Identifiers

Medical identifiers for Michael J Mertens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346292257NPI-NPPES
3839210MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 30767 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Guardian Home Care Of Nashville, LlcFranklin, TNHome health agency
Tristar Summit Medical CenterHermitage, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Heritage Medical Associates Pc4688651037158

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. Michael J Mertens allows following entities to bill medicare on his behalf.
Entity NameHeritage Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548284060
PECOS PAC ID: 4688651037
Enrollment ID: O20040702000463

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. Michael J Mertens 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 AddressPractice Location Address
Michael J Mertens, MD
222 22nd Ave N,
Nashville, TN 37203-1852

Ph: (629) 255-3486		Michael J Mertens, MD
325 Old Pleasant Grove Rd,
Mt Juliet, TN 37122-4493

Ph: (629) 255-2073

Reviews and Comments


Family Medicine Doctors in Mt Juliet, TN

Laura E Gillespie, FNP MSN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 N Mount Juliet Rd, Mt Juliet, TN 37122
Phone: 615-758-5672    Fax: 731-661-9702
Michael Powell Mccutchen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 108 Providence Trl, Mt Juliet, TN 37122
Phone: 615-466-0041    Fax: 615-758-3791
Frank Daniel Vann, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Old Pleasant Grove Rd, Mt Juliet, TN 37122
Phone: 629-255-2265    Fax: 629-255-4210
Kenneth A Demirjian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Old Pleasant Grove Rd, Mt Juliet, TN 37122
Phone: 629-255-2072    Fax: 629-255-4161

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.