DR. MARIOLGA MERCADO D.O.
NPI 1861452575
Family Medicine in Mesa, AZ
NPI Status: Active since March 25, 2006
Contact Information
3130 E BASELINE RD BLDG 2
MESA, AZ
ZIP 85204
Phone: (480) 497-5933
- Individual
- Female
- Years of Experience 25
- Family Medicine
- Accepts Insurance
- May Accept Medicare Approved Payment
About MARIOLGA MERCADO
This page provides the complete NPI Profile along with additional information for Mariolga Mercado, a primary care provider established in Mesa, Arizona with a medical specialization in Family Medicine and more than 25 years of experience. She graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2002. The healthcare provider is registered in the NPI registry with number 1861452575 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 005084 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1861452575
- Provider Name
- DR. MARIOLGA MERCADO D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3130 E BASELINE RD BLDG 2 MESA, AZ 85204
- Location Phone
- (480) 497-5933
- Mailing Address
- 3130 E BASELINE RD STE 105 MESA, AZ 85204
- Mailing Phone
- (480) 497-5933
- Medical School Name
- NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
- Graduation Year
- 2002
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-25-2006
- Last Update Date
- 04-14-2023
- Code Navigator
A primary care provider (PCP) like Mariolga Mercado sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 005084
- License State
- AZ
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mariolga Mercado is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4981637345
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100804000710
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861452575, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861452575, enumerated as an "individual" on March 25, 2006.
The provider is located at 3130 E BASELINE RD BLDG 2 MESA, AZ 85204 and the phone number is (480) 497-5933.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
