Provider Demographics
NPI:1801879424
Name:MERCER, BARBARA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:G3245 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3615
Practice Address - Country:US
Practice Address - Phone:810-733-3650
Practice Address - Fax:810-733-9668
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4420540OtherAETNA
MI0802526221OtherHEALTHPLUS
MI4126501OtherHEALTH ADVANTAGE NETWORK
MI010B56026OtherBLUE CROSS BLUE SHIELD
MID99719OtherHEALTH NET FEDERAL SERVIC
MI010B56026OtherCOMMUNITY BLUE PPO
MI010B56026OtherBLUE CARE NETWORK
MI0802526221OtherBLUE CROSS BLUE SHIELD
MI4126501Medicaid
MI010B56026OtherBLUE CHOICE
MI4126501OtherMCLAREN HEALTH PLAN
MIC7381OtherMCARE
MI4126501Medicaid
MI4420540OtherAETNA