Carleen M Riley-mercado, LMSW - Medicare Counselor in Grand Rapids, MI

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Carleen M Riley-mercado, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Advantage Health/saint Mary's Medical Group and her current practice location is 300 Lafayette Ave Se Ste 4000, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-6922.

Carleen M Riley-mercado is licensed to practice in Michigan (license number 6801113613) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427646983.

Contact Information

Carleen M Riley-mercado, LMSW
300 Lafayette Ave Se Ste 4000,
Grand Rapids, MI 49503-4692
(616) 685-6922
(616) 685-5101

Map and Direction


Healthcare Provider's Profile

Full NameCarleen M Riley-mercado
GenderFemale
SpecialityClinical Social Worker
Experience9 Years
Location300 Lafayette Ave Se Ste 4000, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carleen M Riley-mercado graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1427646983
  • Provider Enumeration Date: 01/09/2021
  • Last Update Date: 12/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305215518
  • Enrollment ID: I20221210000056

Medical Identifiers

Medical identifiers for Carleen M Riley-mercado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427646983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 34008995A (Indiana)Secondary
1041C0700XSocial Worker - Clinical 6801113613 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health Saint Mary'sGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advantage Health/saint Mary's Medical Group4082807961448

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. Carleen M Riley-mercado allows following entities to bill medicare on her behalf.
Entity NameMercy Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023056744
PECOS PAC ID: 8921996307
Enrollment ID: O20040308000687
Entity NameMercy Health Partners - Physician Specialist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922248772
PECOS PAC ID: 2163572991
Enrollment ID: O20090616000615
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279

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. Carleen M Riley-mercado 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
Carleen M Riley-mercado, LMSW
Po Box 776974,
Chicago, IL 60677-6982

Ph: (231) 672-2119		Carleen M Riley-mercado, LMSW
300 Lafayette Ave Se Ste 4000,
Grand Rapids, MI 49503-4692

Ph: (616) 685-6922

Reviews and Comments


Social Worker in Grand Rapids, MI


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.