Nicole A Merz, PA-C is a medicare enrolled "Family Medicine" in Beaver Dam, Wisconsin. Her current practice location is
215 Corporate Drive, Suite A, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 319-8231.
Nicole A Merz is licensed to practice in Wisconsin (license number 3822-23) 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 1679926596.
Provider's Profile
| Full Name | Nicole A Merz |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 215 Corporate Drive, Beaver Dam, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679926596
- Provider Enumeration Date: 07/15/2016
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446544050
- Enrollment ID: I20160804001191
Medical Identifiers
Medical identifiers for Nicole A Merz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679926596 | NPI | - | NPPES |
| 1679926596 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 3822-23 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 3822-23 (Wisconsin) | 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. Nicole A Merz allows following entities to bill medicare on her behalf.
| Entity Name | Agnesian Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263 |
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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. Nicole A Merz 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 |
|---|
Nicole A Merz, PA-C
215 Corporate Drive, Suite A,
Beaver Dam, WI 53916
Ph: (920) 926-5666 | Nicole A Merz, PA-C
215 Corporate Drive, Suite A,
Beaver Dam, WI 53916
Ph: (920) 319-8231 |
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