Sandy Grisel Mendoza, in Victorville, CA - Medicare Marriage & Family Therapist Provider

Sandy Grisel Mendoza, is a medicare enrolled "Marriage & Family Therapist" provider in Victorville, California. Her current practice location is 14499 Begonia Rd Apt 69, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 265-1941.

Sandy Grisel Mendoza is licensed to practice in * (Not Available) (license number ) 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 1306372586.

Contact Information

	Sandy Grisel Mendoza,
	14499 Begonia Rd Apt 69, Victorville, CA 92392-5916
	(760) 265-1941
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sandy Grisel Mendoza
Gender	Female
Speciality	Marriage & Family Therapist
Location	14499 Begonia Rd Apt 69, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306372586
Provider Enumeration Date: 05/07/2017
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4789126921
Enrollment ID: I20240604001184

Medical Identifiers

Medical identifiers for Sandy Grisel Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306372586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Sandy Grisel Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Sandy Grisel 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
Sandy Grisel Mendoza, Po Box 1477, Victorville, CA 92393-1477 Ph: (760) 265-1941	Sandy Grisel Mendoza, 14499 Begonia Rd Apt 69, Victorville, CA 92392-5916 Ph: (760) 265-1941

Reviews and Comments

Marriage & Family Therapist in Victorville, CA

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Sandy Grisel Mendoza, - Medicare Couples Therapy in Victorville, CA