Jeffrey Merriam, CRNA - Medicare Nurse Anesthetist, Certified Registered in Maple Grove, MN

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Jeffrey Merriam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maple Grove, Minnesota. His current practice location is 9645 Grove Cir N Ste 250, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 201-8191.

Jeffrey Merriam is licensed to practice in Minnesota (license number R121082-8) 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 1487657847.

Contact Information

Jeffrey Merriam, CRNA
9645 Grove Cir N Ste 250,
Maple Grove, MN 55369
(763) 201-8191
(763) 201-8192

Map and Direction




Provider's Profile

Full NameJeffrey Merriam
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location9645 Grove Cir N Ste 250, Maple Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487657847
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 06/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8527963990
  • Enrollment ID: I20031201000103

Medical Identifiers

Medical identifiers for Jeffrey Merriam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487657847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R121082-8 (Minnesota)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. Jeffrey Merriam allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104176205
PECOS PAC ID: 4284879701
Enrollment ID: O20130403000426

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. Jeffrey Merriam 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
Jeffrey Merriam, CRNA
9645 Grove Cir N Ste 250,
Maple Grove, MN 55369-4466

Ph: (763) 201-8191		Jeffrey Merriam, CRNA
9645 Grove Cir N Ste 250,
Maple Grove, MN 55369

Ph: (763) 201-8191

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Maple Grove, MN

Kayla Jane Runkle,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369
Phone: 763-581-1000    Fax: 763-450-3986
Mrs. Kelly Rae Peterson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9803 Vagabond Ln N, Maple Grove, MN 55311
Phone: 612-242-1341    
Gregory S Mellesmoen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9645 Grove Cir N Ste 250, Maple Grove, MN 55369
Phone: 763-201-8191    Fax: 763-201-8192

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.