Miss Lizette Mendoza, RD in Vallejo, CA - Medicare Dietitian, Registered Provider

Miss Lizette Mendoza, RD is a medicare enrolled "Dietitian, Registered" provider in Vallejo, California. Her current practice location is 220 Hospital Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 551-1806.

Miss Lizette Mendoza is licensed to practice in California (license number 86298004) 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 1194445924.

Contact Information

	Miss Lizette Mendoza, RD
	220 Hospital Dr, Vallejo, CA 94589-2517
	(707) 551-1806
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Lizette Mendoza
Gender	Female
Speciality	Dietitian, Registered
Location	220 Hospital Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194445924
Provider Enumeration Date: 08/31/2022
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 3678958048
Enrollment ID: I20220921001509

Medical Identifiers

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

Identifier	Type	State	Issuer
1194445924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86298004 (California)	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. Miss Lizette Mendoza allows following entities to bill medicare on her behalf.

Provider Name	La Clinica De La Raza Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Miss Lizette 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
Miss Lizette Mendoza, RD 1227 Taylor Ave, Vallejo, CA 94591-7509 Ph: (707) 567-6134	Miss Lizette Mendoza, RD 220 Hospital Dr, Vallejo, CA 94589-2517 Ph: (707) 551-1806

Reviews and Comments

Dietitian, Registered in Vallejo, CA

Ms. Catherine Marie Cornwall, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2167
Ms. Dana M. Scruggs, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 Cadloni Ln, Apartment G, Vallejo, CA 94591 Phone: 901-563-7501
Ashley Kish, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 192 Leeward Ct, Vallejo, CA 94591 Phone: 219-771-4354
Lauren Williams, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 149 Larsen Cir, Vallejo, CA 94589 Phone: 530-748-7024
Josef Gammad, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Lisa Trottier, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2772 Fax: 707-651-4357

Miss Lizette Mendoza, RD - Medicare Dietitian in Vallejo, CA