Charisse Marie Mertz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seward, Nebraska. Her current practice location is
2114 Mckelvie Rd Unit 20, Seward, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 450-4844.
Charisse Marie Mertz is licensed to practice in Nebraska (license number 100591) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043237480.
Provider's Profile
Full Name | Charisse Marie Mertz |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 2114 Mckelvie Rd Unit 20, Seward, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043237480
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507982899
- Enrollment ID: I20100923001042
Medical Identifiers
Medical identifiers for Charisse Marie Mertz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043237480 | NPI | - | NPPES |
47060018715 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 100591 (Nebraska) | Primary |
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. Charisse Marie Mertz allows following entities to bill medicare on her behalf.
Entity Name | Fillmore County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508956467 PECOS PAC ID: 9638144942 Enrollment ID: O20040831000463 |
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Entity Name | Fillmore County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1689769382 PECOS PAC ID: 9638144942 Enrollment ID: O20070115000244 |
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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. Charisse Marie Mertz 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 |
Charisse Marie Mertz, CRNA Po Box 22, Seward, NE 68434-0022 Ph: (402) 450-4844 | Charisse Marie Mertz, CRNA 2114 Mckelvie Rd Unit 20, Seward, NE 68434-8122 Ph: (402) 450-4844 |
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