Kimberly Hageman Merrill, NP-C - Medicare Nurse Practitioner in Johnson City, NY

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Kimberly Hageman Merrill, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Johnson City, New York. Her current practice location is 30 Harrison St, Suite 100, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6850.

Kimberly Hageman Merrill is licensed to practice in New York (license number 305734) 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 1225325921.

Contact Information

Kimberly Hageman Merrill, NP-C
30 Harrison St, Suite 100,
Johnson City, NY 13790-2161
(607) 763-6850
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Hageman Merrill
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location30 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225325921
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 04/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8628248432
  • Enrollment ID: I20110906000557

Medical Identifiers

Medical identifiers for Kimberly Hageman Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225325921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 305734 (New York)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. Kimberly Hageman Merrill allows following entities to bill medicare on her behalf.
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017
Entity NameBroome Oncology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518956176
PECOS PAC ID: 1658284849
Enrollment ID: O20040528000350

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. Kimberly Hageman Merrill 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
Kimberly Hageman Merrill, NP-C
8986 W Creek Rd,
Berkshire, NY 13736-1342

Ph: () -		Kimberly Hageman Merrill, NP-C
30 Harrison St, Suite 100,
Johnson City, NY 13790-2161

Ph: (607) 763-6850

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, NY

Jennifer Anne Shattuck, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 Riverside Dr, Johnson City, NY 13790
Phone: 607-798-7811    
Ashley N Hammond, MS, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Rachel Marie Skovira, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    Fax: 607-763-6782
Victoria Elizabeth Mcmanus, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 365 Harry L Dr Ste 110, Johnson City, NY 13790
Phone: 607-729-5805    Fax: 607-729-7714
Kaylyn Malenda, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5064
Alissa Giammarino, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 46 Harrison St, Johnson City, NY 13790
Phone: 607-729-4942    Fax: 607-729-7516
Mrs. Linda Lafontaine Peterson, PRIMARY CARE NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 286 Dego Hill Road, United Methodist Homes Hilltop Campus, Johnson City, NY 13790
Phone: 607-798-7818    Fax: 607-798-9382

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.