Tracey Merriman, is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Westlake, Ohio. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Hospitals St. John Medical Center, University Primary Care Practices Inc and her current practice location is
29000 Center Ridge Rd, Westlake, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 827-5559.
Tracey Merriman is licensed to practice in Ohio (license number APRN.CNP.021589) 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 1275057325.
Physician's Profile
| Full Name | Tracey Merriman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 29000 Center Ridge Rd, Westlake, Ohio |
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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:
- Tracey Merriman graduated from medical school in 2017
NPI Data:
- NPI Number: 1275057325
- Provider Enumeration Date: 07/31/2017
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082988845
- Enrollment ID: I20170919000708
Medical Identifiers
Medical identifiers for Tracey Merriman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275057325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RG0100X | Internal Medicine - Gastroenterology | APRN.CNP.021589 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.021589 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Hospitals St. John Medical Center | 0840333613 | 33 |
| University Primary Care Practices Inc | 3072417534 | 972 |
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. Tracey Merriman allows following entities to bill medicare on her behalf.
| Entity Name | University Primary Care Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
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| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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| Entity Name | University Hospitals St. John Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427353713 PECOS PAC ID: 0840333613 Enrollment ID: O20110315000008 |
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| Entity Name | University Hospitals Cleveland Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
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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. Tracey Merriman 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 |
Tracey Merriman, 5455 N Marginal Rd Apt 515, Cleveland, OH 44114-3951 Ph: () - | Tracey Merriman, 29000 Center Ridge Rd, Westlake, OH 44145-5219 Ph: (440) 827-5559 |
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