Dr Avalon Mertens, DO - Medicare Pulmonary Disease in Salem, MA

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Dr Avalon Mertens, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Salem, Massachusetts. She went to Nova Southeastern College Of Osteo Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Mass General Brigham Medical Group Northern Massachusetts Inc and her current practice location is 55 Highland Ave Ste 104, Salem, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 745-4489.

Dr Avalon Mertens is licensed to practice in * (Not Available) (license number ) 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 1689066987.

Contact Information

Dr Avalon Mertens, DO
55 Highland Ave Ste 104,
Salem, MA 01970-2100
(978) 745-4489
(978) 741-3131

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Physician's Profile

Full NameDr Avalon Mertens
GenderFemale
SpecialityPulmonary Disease
Experience11 Years
Location55 Highland Ave Ste 104, Salem, Massachusetts
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:
  • Dr Avalon Mertens attended and graduated from Nova Southeastern College Of Osteo Medicine in 2015
  NPI Data:
  • NPI Number: 1689066987
  • Provider Enumeration Date: 02/23/2015
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496068918
  • Enrollment ID: I20220922000396

Medical Identifiers

Medical identifiers for Dr Avalon Mertens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689066987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 292646 (Massachusetts)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 292646 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Shore Medical Center -Salem, MAHospital
Massachusetts General HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mass General Brigham Medical Group Northern Massachusetts Inc3577467224552

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 Avalon Mertens allows following entities to bill medicare on her behalf.
Entity NameMass General Brigham Medical Group Northern Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588606123
PECOS PAC ID: 3577467224
Enrollment ID: O20050429000668

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 Avalon Mertens 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 Avalon Mertens, DO
55 Highland Ave Ste 104,
Salem, MA 01970-2100

Ph: (978) 745-4489		Dr Avalon Mertens, DO
55 Highland Ave Ste 104,
Salem, MA 01970-2100

Ph: (978) 745-4489

Reviews and Comments



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.