Dr Rachel Lynn Mendazona, DMD in Phoenix, AZ

Dr Rachel Lynn Mendazona, DMD is a medicare enrolled "Dentist" provider in Phoenix, Arizona. Her current practice location is 21001 N Tatum Blvd Ste 80-1690, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 419-9200.

Dr Rachel Lynn Mendazona is licensed to practice in Arizona (license number D011571) 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 1942925318.

Contact Information

	Dr Rachel Lynn Mendazona, DMD
	21001 N Tatum Blvd Ste 80-1690, Phoenix, AZ 85050-5233
	(480) 419-9200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rachel Lynn Mendazona
Gender	Female
Speciality	Dentist
Location	21001 N Tatum Blvd Ste 80-1690, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942925318
Provider Enumeration Date: 10/07/2022
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4486095023
Enrollment ID: I20240514000277

Medical Identifiers

Medical identifiers for Dr Rachel Lynn Mendazona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942925318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D011571 (Arizona)	Primary
122300000X	Dentist	D11708 (Oregon)	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. Dr Rachel Lynn Mendazona allows following entities to bill medicare on her behalf.

Entity Name	Gila River Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648

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. Dr Rachel Lynn Mendazona 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
Dr Rachel Lynn Mendazona, DMD 16204 Sw Vaqueros Way, Powell Butte, OR 97753-0411 Ph: (541) 325-6339	Dr Rachel Lynn Mendazona, DMD 21001 N Tatum Blvd Ste 80-1690, Phoenix, AZ 85050-5233 Ph: (480) 419-9200

Reviews and Comments

Dentist in Phoenix, AZ

Dr. Bogdan Michael Kulikowski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15215 S 48th Street, Suite #158, Phoenix, AZ 85044 Phone: 480-598-3006 Fax: 480-598-1184
Lonnie Chris Eckman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 N 43rd Ave Ste No711, Phoenix, AZ 85051 Phone: 623-931-8898 Fax: 623-930-1182
Thuy B Ngo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 E. Bell Rd., #102, Phoenix, AZ 85032 Phone: 602-485-1588 Fax: 602-707-9740
Dr. Jeremy John Liddiard, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 12005 N Tatum Blvd, Suite 105, Phoenix, AZ 85028 Phone: 602-971-0026
Dr. Amanda Rafi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 267 E Bell Rd Ste 3, Phoenix, AZ 85022 Phone: 602-993-6000
Jessica Lynne Giles, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6601 W Thomas Rd, Phoenix, AZ 85033 Phone: 602-243-7277 Fax: 623-247-9742
Aaron Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3540 W Camelback Rd, Phoenix, AZ 85019 Phone: 602-427-4070

Dr Rachel Lynn Mendazona, DMD - Medicare Dentist in Phoenix, AZ