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Sarah Massiel Herrera Mercedes

Internal Medicine

Allopathic & Osteopathic Physicians

1620 W. Harrison Street, Chicago, IL 60612

PECOS Enrollment

This provider is enrolled in PECOS as SARAH HERRERA MERCEDES.

Based on the most recent information from CMS, provider Sarah Massiel Herrera Mercedes 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 2 days ago.

Profile Details

Provider ID
1942986922
Provider Type
Individual
Full Name
Herrera Mercedes, Sarah Massiel
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/26/2023
Last Updated
6/26/2023

Contact Information

Practice Location

1620 W. Harrison Street, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Mailing Location

1620 W. Harrison Street, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125.082051 Illinois

Sarah Massiel Herrera Mercedes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Earvolino, Jennifer

Monterubianesi, Lorena Alejandra

Koo, Jah-Won

Krantz, Anne Judith

Lauderdale, Vance

Morrison, Orrianne

Rafiq, Muhammad

Nanda, Kshitij

Leavitt, Jacqueline

Berroya, Asuncion C