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Brandy Elizabeth Merritt

Pediatrics

Allopathic & Osteopathic Physicians

1504 Spring Hill Ave, Suite 1600, Mobile, AL 36604-3207

PECOS Enrollment

This provider is enrolled in PECOS as BRANDY MERRITT.

Based on the most recent information from CMS, provider Brandy Elizabeth Merritt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 3:36 PM.

Profile Details

Provider ID
1427279579
Provider Type
Individual
Full Name
Merritt, Brandy Elizabeth
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2007
Last Updated
9/11/2013

Contact Information

Practice Location

1504 Spring Hill Ave, Suite 1600, Mobile, AL 36604-3207

(251) 434-3915

(251) 434-3802

Mailing Location

PO Box 40480, Mobile, AL 36640-0480

(251) 434-3915

(251) 434-3802

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 32585 Alabama
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 036.125693 Illinois
Code 2080P0203X	Description Pediatrics Allopathic & Osteopathic Physicians	License 32585 Alabama

Brandy Elizabeth Merritt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Gonzalez, Juan Carlos