Gina Mendez, is a medicare enrolled "Social Worker - Clinical" provider in Temecula, California. Her current practice location is
28581 Old Town Front St, Ste 201, Temecula, California. You can reach out to her office (for appointments etc.) via phone at
(951) 399-2810.
Gina Mendez is licensed to practice in California (license number 71515) 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 1417278706.
Healthcare Provider's Profile
| Full Name | Gina Mendez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 28581 Old Town Front St, Temecula, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417278706
- Provider Enumeration Date: 06/21/2010
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305258740
- Enrollment ID: I20230802001681
Medical Identifiers
Medical identifiers for Gina Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417278706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 71515 (California) | 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. Gina Mendez allows following entities to bill medicare on her behalf.
| Entity Name | Gina Mendez A Licensed Clinical Social Worker Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740813799
PECOS PAC ID: 4789096116
Enrollment ID: O20230712002709 |
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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. Gina Mendez 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 Address | Practice Location Address |
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Gina Mendez,
42947 Beamer Ct,
Temecula, CA 92592-6625
Ph: (951) 855-4967 | Gina Mendez,
28581 Old Town Front St, Ste 201,
Temecula, CA 92590-2724
Ph: (951) 399-2810 |
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