Caleb Ba Mendoza, DO in Covington, GA

Caleb Ba Mendoza, DO is a medicare enrolled "Surgery" physician in Covington, Georgia. His current practice location is 4181 Hospital Dr Ne Ste 303, Covington, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 787-6957.

Caleb Ba Mendoza is licensed to practice in Georgia (license number 100229) 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 1023578234.

Contact Information

	Caleb Ba Mendoza, DO
	4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541
	(770) 787-6957
	Not Available

Map and Direction

Physician's Profile

Full Name	Caleb Ba Mendoza
Gender	Male
Speciality	Surgery
Location	4181 Hospital Dr Ne Ste 303, Covington, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023578234
Provider Enumeration Date: 03/22/2019
Last Update Date: 06/29/2024

Medicare PECOS Information:

PECOS PAC ID: 9537607098
Enrollment ID: I20240814004290

Medical Identifiers

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

Identifier	Type	State	Issuer
1023578234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	100229 (Georgia)	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. Caleb Ba Mendoza allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

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. Caleb Ba 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
Caleb Ba Mendoza, DO 1888 Hollywood Rd Nw Unit 6404, Atlanta, GA 30318-3687 Ph: (832) 287-7133	Caleb Ba Mendoza, DO 4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541 Ph: (770) 787-6957

Reviews and Comments

Surgery Doctors in Covington, GA

Susan Irving, Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 Whispering Pine Dr, Covington, GA 30016 Phone: 770-985-4257 Fax: 770-985-4258
Dr. Jessica Yasmine Labib, MD Surgery Medicare: Medicare Enrolled Practice Location: 4181 Hospital Dr Ne Ste 303, Covington, GA 30014 Phone: 678-471-0128
Benjamin C Rogers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014 Phone: 770-787-6957 Fax: 770-784-0381
Edward M Timmins, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne Ste 303, Covington, GA 30014 Phone: 678-471-0128
Dr. Audrey C Dudzik, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne Ste 303, Covington, GA 30014 Phone: 678-471-0128
Erica Y Scott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4181 Hospital Dr Ne Ste 303, Covington, GA 30014 Phone: 678-471-0128

Caleb Ba Mendoza, DO - Medicare Surgery in Covington, GA