| Tracey Merriman, | |
|
29000 Center Ridge Rd, Westlake, OH 44145-5219 | |
| (440) 827-5559 | |
| Not Available |
| Full Name | Tracey Merriman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 29000 Center Ridge Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275057325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | APRN.CNP.021589 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.021589 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh St John Medical Center | Westlake, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 1073 |
| University Hospitals St. John Medical Center | 0840333613 | 32 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | University Hospitals St. John Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427353713 PECOS PAC ID: 0840333613 Enrollment ID: O20110315000008 |
| Entity Name | University Hospitals Cleveland Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043747454 PECOS PAC ID: 3274431879 Enrollment ID: O20170728000888 |
| 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 |