Gerald Merritt Iv, DPM is a medicare enrolled "Hospitalist" provider in Shenandoah, Texas. His current practice location is
1120 Medical Plaza Dr Ste 180, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 364-9041.
Gerald Merritt Iv is licensed to practice in Texas (license number 3071) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275067654.
Healthcare Provider's Profile
Full Name | Gerald Merritt Iv |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1120 Medical Plaza Dr Ste 180, Shenandoah, Texas |
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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: 1275067654
- Provider Enumeration Date: 04/12/2017
- Last Update Date: 04/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749611176
- Enrollment ID: I20230215002515
Medical Identifiers
Medical identifiers for Gerald Merritt Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275067654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-001061 (Arizona) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 356 (Oklahoma) | Secondary |
208M00000X | Hospitalist | 3071 (Texas) | 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. Gerald Merritt Iv allows following entities to bill medicare on his behalf.
Provider Name | Allen Foot And Ankle Medicine And Surgery Plc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1477678704 PECOS PAC ID: 0446351332 Enrollment ID: O20070723000164 |
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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. Gerald Merritt Iv 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 |
Gerald Merritt Iv, DPM 1120 Medical Plaza Dr Ste 180, Shenandoah, TX 77380-3250 Ph: (281) 364-9041 | Gerald Merritt Iv, DPM 1120 Medical Plaza Dr Ste 180, Shenandoah, TX 77380-3250 Ph: (281) 364-9041 |
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