Victor Hugo Mendoza, in Rockford, IL - Medicare Counselor Provider

Victor Hugo Mendoza, is a medicare enrolled "Counselor - Professional" provider in Rockford, Illinois. His current practice location is 4623 Crescent Drive, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 414-3036.

Victor Hugo Mendoza is licensed to practice in Illinois (license number 180011320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215435425.

Contact Information

	Victor Hugo Mendoza,
	4623 Crescent Drive, Rockford, IL 61108-6110
	(630) 414-3036
	(630) 414-3036

Map and Direction

Healthcare Provider's Profile

Full Name	Victor Hugo Mendoza
Gender	Male
Speciality	Counselor - Professional
Location	4623 Crescent Drive, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215435425
Provider Enumeration Date: 01/23/2018
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9133570989
Enrollment ID: I20240105003367

Medical Identifiers

Medical identifiers for Victor Hugo Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215435425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180011320 (Illinois)	Primary
101YM0800X	Counselor - Mental Health	180.011320 (Illinois)	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. Victor Hugo Mendoza allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Victor Hugo 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
Victor Hugo Mendoza, 700 Carrie Ave, Rochelle, IL 61068-1153 Ph: (815) 501-2088	Victor Hugo Mendoza, 4623 Crescent Drive, Rockford, IL 61108-6110 Ph: (630) 414-3036

Reviews and Comments

Counselor in Rockford, IL

Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172

Victor Hugo Mendoza, - Medicare Counselor in Rockford, IL