Sebastian Mendoza, in Randolph, NJ - Medicare Dentist Provider

Sebastian Mendoza, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Randolph, New Jersey. His current practice location is 447 Route 10 E Ste 5, Randolph, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 328-1555.

Sebastian Mendoza is licensed to practice in New Jersey (license number 22DI02676600) 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 1821523754.

Contact Information

	Sebastian Mendoza,
	447 Route 10 E Ste 5, Randolph, NJ 07869-2132
	(973) 328-1555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sebastian Mendoza
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	447 Route 10 E Ste 5, Randolph, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821523754
Provider Enumeration Date: 04/28/2017
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 7810381431
Enrollment ID: I20220224002701

Medical Identifiers

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

Identifier	Type	State	Issuer
1821523754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI02676600 (New Jersey)	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. Sebastian Mendoza allows following entities to bill medicare on his behalf.

Entity Name	Downtown Bronx Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016

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. Sebastian 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
Sebastian Mendoza, 447 Route 10 E Ste 5, Randolph, NJ 07869-2132 Ph: () -	Sebastian Mendoza, 447 Route 10 E Ste 5, Randolph, NJ 07869-2132 Ph: (973) 328-1555

Reviews and Comments

Dentist in Randolph, NJ

Dr. Namita Prashant Shah, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 447 Route 10 E, Suite #3, Randolph, NJ 07869 Phone: 973-537-7500 Fax: 973-537-7400
Helen H Park, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 Route 10, Randolph, NJ 07869 Phone: 973-989-7970
Dr. Bruce M Seidner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 Route 10, Randolph, NJ 07869 Phone: 973-598-9555
Dr. Robert Gold, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 447 Route 10, Suite 5, Randolph Center For Oral & Maxillofacial Surgery, Randolph, NJ 07869 Phone: 973-328-1555 Fax: 973-328-3405
Dr. Tara Christine Plansky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 447 Route 10, Suite 5, Randolph Center For Oral & Maxillofacial Surgery, Randolph, NJ 07869 Phone: 973-328-1555 Fax: 973-328-3405
Dr. Jeffrey Marc Frankel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 Route 10 West, Randolph, NJ 07869 Phone: 973-989-8788
Dr. Michael Joseph Markoff, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Randolph Center For Oral & Maxillofacial, 447 Route 10, Suite 5, Randolph, NJ 07869 Phone: 973-328-1555 Fax: 973-328-3405

Sebastian Mendoza, - Medicare Dentist in Randolph, NJ