Paul J Merkel, DPM - Medicare Podiatrist in Rochester, NY

Paul J Merkel, DPM is a medicare enrolled "Podiatrist" provider in Rochester, New York. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Genesee Valley Podiatry Llp and his current practice location is 1404 Portland Avenue, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 266-1940.

Paul J Merkel is licensed to practice in New York (license number 004993) 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 1932203577.

Contact Information

Paul J Merkel, DPM
1404 Portland Avenue,
Rochester, NY 14621
(585) 266-1940
(585) 266-2223

Map and Direction




Healthcare Provider's Profile

Full NamePaul J Merkel
GenderMale
SpecialityPodiatry
Experience35 Years
Location1404 Portland Avenue, Rochester, New York
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:
  • Paul J Merkel graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1932203577
  • Provider Enumeration Date: 09/12/2006
  • Last Update Date: 02/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2860589975
  • Enrollment ID: I20100405000339

Medical Identifiers

Medical identifiers for Paul J Merkel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932203577NPI-NPPES
8146OtherNYBLUE CROSS/SHIELD
01532310MedicaidNY
MD486ROtherNYPREFERRED CARE
P010004993OtherNYBLUE CHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist N004993-1 (New York)Secondary
213E00000XPodiatrist 004993 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rochester General HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesee Valley Podiatry Llp38706809862

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. Paul J Merkel allows following entities to bill medicare on his behalf.
Provider NamePodiatry Associates Of Rochester, Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1386739514
PECOS PAC ID: 5991752966
Enrollment ID: O20050401000122
Provider NameGenesee Valley Podiatry Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053417014
PECOS PAC ID: 3870680986
Enrollment ID: O20071106000171

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. Paul J Merkel 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
Paul J Merkel, DPM
908 Niagara Falls Blvd, Ste 208,
N Tonawanda, NY 14120

Ph: (716) 692-2160
Paul J Merkel, DPM
1404 Portland Avenue,
Rochester, NY 14621

Ph: (585) 266-1940

Reviews and Comments


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Dr. Jennifer Wool-cottone, DPM
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Practice Location: 1255 Portland Ave, Rochester, NY 14621
Phone: 585-342-8700    Fax: 585-342-4951

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.