Marissa Anne Mencio, MD is a medicare enrolled "Surgery" physician in Hermitage, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Advanced Diagnostic Imaging Pc and her current practice location is
3901 Central Pike Ste 351, Hermitage, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 889-8802.
Marissa Anne Mencio is licensed to practice in Tennessee (license number 61783) 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 1609295534.
Physician's Profile
| Full Name | Marissa Anne Mencio |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 12 Years |
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| Location | 3901 Central Pike Ste 351, Hermitage, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marissa Anne Mencio attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014
NPI Data:
- NPI Number: 1609295534
- Provider Enumeration Date: 04/08/2014
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486965514
- Enrollment ID: I20200818002180
Medical Identifiers
Medical identifiers for Marissa Anne Mencio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609295534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 61783 (Tennessee) | Primary |
| 208600000X | Surgery | 298487-1 (New York) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
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. Marissa Anne Mencio allows following entities to bill medicare on her behalf.
| Entity Name | Saint Thomas Medical Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
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| Entity Name | Advanced Diagnostic Imaging Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
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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. Marissa Anne Mencio 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 |
Marissa Anne Mencio, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Marissa Anne Mencio, MD 3901 Central Pike Ste 351, Hermitage, TN 37076 Ph: (615) 889-8802 |
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