| Dr Andrew J Merritt, MD | |
|
28 1/2 E Main St, Marcellus, NY 13108-1226 | |
| (315) 673-9926 | |
| (315) 673-9465 |
| Full Name | Dr Andrew J Merritt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 28 1/2 E Main St, Marcellus, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548291248 | NPI | - | NPPES |
| 00550830 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 127430 (New York) | Primary |
| Entity Name | Marcellus Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427640 PECOS PAC ID: 6406938646 Enrollment ID: O20080128000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew J Merritt, MD 28 1/2 E Main St, Marcellus, NY 13108-1226 Ph: (315) 673-9926 | Dr Andrew J Merritt, MD 28 1/2 E Main St, Marcellus, NY 13108-1226 Ph: (315) 673-9926 |
Iryna Artymovych, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 28 1/2 E Main St Ste 1, Marcellus, NY 13108 Phone: 315-673-9926 | |
John A Alley, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 28 1/2 E Main St, Marcellus, NY 13108 Phone: 315-673-9926 Fax: 315-673-9465 | |
Ramon Berrios, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1/2 Orange St, Marcellus, NY 13108 Phone: 315-673-1529 Fax: 315-673-2434 |