Jacqueline Merrill, APRN - Medicare Nurse Practitioner in Owensboro, KY

Jacqueline Merrill, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Owensboro, Kentucky. Her current practice location is 1000 Industrial Dr, Owensboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 689-6500.

Jacqueline Merrill is licensed to practice in Kentucky (license number 3014040) 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 1093316747.

Contact Information

Jacqueline Merrill, APRN
1000 Industrial Dr,
Owensboro, KY 42301-8715
(270) 689-6500
Not Available



Physician's Profile

Full NameJacqueline Merrill
GenderFemale
SpecialityNurse Practitioner - Family
Location1000 Industrial Dr, Owensboro, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093316747
  • Provider Enumeration Date: 11/07/2020
  • Last Update Date: 01/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082086681
  • Enrollment ID: I20230208000793

Medical Identifiers

Medical identifiers for Jacqueline Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093316747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3014040 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 3014040 (Kentucky)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. Jacqueline Merrill allows following entities to bill medicare on her behalf.
Entity NameGreen River Regional Mental Health/mental Retardation Board, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285689711
PECOS PAC ID: 4082522396
Enrollment ID: O20040121000007

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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. Jacqueline 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
Jacqueline Merrill, APRN
1000 Industrial Dr,
Owensboro, KY 42301-8715

Ph: (270) 689-6500
Jacqueline Merrill, APRN
1000 Industrial Dr,
Owensboro, KY 42301-8715

Ph: (270) 689-6500

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