Jesica Mendoza, is a
Student In An Organized Health Care Education/training Program based in Tukwila, Washington. Jesica Mendoza is licensed to practice in * (Not Available) (license number ) and her current practice location is
6400 Southcenter Blvd Fl 2, Tukwila, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 444-3600.
NPI number for Jesica Mendoza is 1295407609 and her current mailing address is 6400 Southcenter Blvd Fl 1, Tukwila, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295407609.
Healthcare Provider's Profile
| Full Name | Jesica Mendoza |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 6400 Southcenter Blvd Fl 2, Tukwila, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295407609
- Provider Enumeration Date: 10/04/2021
- Last Update Date: 10/04/2021
Medical Identifiers
Medical identifiers for Jesica Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295407609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jesica Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jesica Mendoza,
6400 Southcenter Blvd Fl 1,
Tukwila, WA 98188-2547
Ph: () - | Jesica Mendoza,
6400 Southcenter Blvd Fl 2,
Tukwila, WA 98188-2547
Ph: (206) 444-3600 |
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