Dr Edgar A D Mendoza, MD - Medicare Pediatrics in Jackson, KY

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Dr Edgar A D Mendoza, MD is a medicare enrolled "Pediatrics" physician in Jackson, Kentucky. His current practice location is 1484 Lakeside Drive, Jackson, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 666-9950.

Dr Edgar A D Mendoza is licensed to practice in Kentucky (license number 33465) 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 1891891388.

Contact Information

Dr Edgar A D Mendoza, MD
1484 Lakeside Drive,
Jackson, KY 41339-6555
(606) 666-9950
(606) 666-9136

Map and Direction




Physician's Profile

Full NameDr Edgar A D Mendoza
GenderMale
SpecialityPediatrics
Location1484 Lakeside Drive, Jackson, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891891388
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 03/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375822109
  • Enrollment ID: I20161117001914

Medical Identifiers

Medical identifiers for Dr Edgar A D Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891891388NPI-NPPES
1467417691OtherKYMEDICAID FQHC GROUP
64343650MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 33465 (Kentucky)Primary

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 Edgar A D 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 AddressPractice Location Address
Dr Edgar A D Mendoza, MD
Po Box 690,
Beattyville, KY 41311-0690

Ph: (606) 464-0151		Dr Edgar A D Mendoza, MD
1484 Lakeside Drive,
Jackson, KY 41339-6555

Ph: (606) 666-9950

Reviews and Comments


Pediatrics Doctors in Jackson, KY

Dr. Kimerli Plumb-moore, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1484 Lakeside Drive, Jackson, KY 41339
Phone: 606-666-9950    Fax: 606-666-9136
Dr. Brittany Moore Fugate, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1484 Lakeside Drive, Jackson, KY 41339
Phone: 606-666-9950    Fax: 606-666-9136

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.