Dr Andrea Marie Mertz, MD - Medicare Pediatrics in Louisville, CO

Dr Andrea Marie Mertz, MD is a medicare enrolled "Pediatrics" physician in Louisville, Colorado. Her current practice location is 80 Health Park Dr Ste 100, Louisville, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 666-2720.

Dr Andrea Marie Mertz is licensed to practice in Colorado (license number DR.0051926) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255651188.

Contact Information

Dr Andrea Marie Mertz, MD
80 Health Park Dr Ste 100,
Louisville, CO 80027-4644
(303) 666-2720
(303) 666-2734

Map and Direction




Physician's Profile

Full NameDr Andrea Marie Mertz
GenderFemale
SpecialityPediatrics
Location80 Health Park Dr Ste 100, Louisville, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255651188
  • Provider Enumeration Date: 06/02/2010
  • Last Update Date: 07/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1052549557
  • Enrollment ID: I20140108000318

Medical Identifiers

Medical identifiers for Dr Andrea Marie Mertz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255651188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DR.0051926 (Colorado)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. Dr Andrea Marie Mertz allows following entities to bill medicare on her behalf.
Entity NameBoulder Medical Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306820923
PECOS PAC ID: 4183536204
Enrollment ID: O20031105000512

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. Dr Andrea Marie Mertz 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
Dr Andrea Marie Mertz, MD
80 Health Park Dr Ste 100,
Louisville, CO 80027-4644

Ph: (303) 666-2720
Dr Andrea Marie Mertz, MD
80 Health Park Dr Ste 100,
Louisville, CO 80027-4644

Ph: (303) 666-2720

Reviews and Comments


Pediatrics Doctors in Louisville, CO

Michael J Wright, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 818 W South Boulder Rd Unit 100, Louisville, CO 80027
Phone: 303-322-7806    
Dr. David Lee Steitz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 90 Health Part Dr, #210, Louisville, CO 80027
Phone: 303-673-9030    Fax: 303-604-1095
Jon-paul Jordan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 90 Health Park Dr Ste 160, Louisville, CO 80027
Phone: 303-673-9030    Fax: 303-604-1095
Katherine Mccormack, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 80 Health Park Dr Ste 100, Louisville, CO 80027
Phone: 303-440-3083    
Mrs. Pamela Marie Rubner, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 400 S. Mccaslin Blvd, #103, Louisville, CO 80027
Phone: 303-666-7337    
Debra H Rolfson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 818 W South Boulder Rd, Louisville, CO 80027
Phone: 303-666-7337    Fax: 303-666-7379

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).

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