Michael George Mercury, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Winfield, Illinois. He graduated from healthcare school in 1995 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Central Dupage Physician Group and his current practice location is
25 N Winfield Rd, Winfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 933-4056.
Michael George Mercury is licensed to practice in Illinois (license number 071005518) 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 1104992445.
Healthcare Provider's Profile
| Full Name | Michael George Mercury |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 31 Years |
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| Location | 25 N Winfield Rd, Winfield, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael George Mercury graduated from medical school in 1995
NPI Data:
- NPI Number: 1104992445
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 01/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 0042242968
- Enrollment ID: I20050831000420
Medical Identifiers
Medical identifiers for Michael George Mercury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104992445 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE (GROUP PTAN) |
| F400101012 | Other | IL | MEDICARE (INDIVIDUAL PTAN) |
| 071005518 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 071005518 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071005518 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Dupage Physician Group | 5890696231 | 1087 |
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 George Mercury allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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 George Mercury 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 Address | Practice Location Address |
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Michael George Mercury, PHD
25 N Winfield Rd,
Winfield, IL 60190-1295
Ph: (630) 933-4056 | Michael George Mercury, PHD
25 N Winfield Rd,
Winfield, IL 60190-1295
Ph: (630) 933-4056 |
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