Jomarie Mendoza, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Alabama. Her current practice location is
600 Sun Temple Dr, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 701-5651.
Jomarie Mendoza is licensed to practice in Alabama (license number 5657C) 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 1245955699.
Healthcare Provider's Profile
Full Name | Jomarie Mendoza |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 600 Sun Temple Dr, Madison, Alabama |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245955699
- Provider Enumeration Date: 10/07/2022
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012452824
- Enrollment ID: I20240716002699
Medical Identifiers
Medical identifiers for Jomarie Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245955699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 29369 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 5657C (Alabama) | Primary |
104100000X | Social Worker | 5601G (Alabama) | Secondary |
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. Jomarie Mendoza allows following entities to bill medicare on her behalf.
Entity Name | Integrated Behavioral Health, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
---|
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. Jomarie Mendoza 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 |
Jomarie Mendoza, LICSW 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291 | Jomarie Mendoza, LICSW 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 701-5651 |
Reviews and Comments