Dr Jordan Holly Mendoza, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Northglenn, Colorado. She went to University Of Colorado School Of Medicine, Denver and graduated in 2010 and has 16 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is
11160 Huron St Ste 31, Northglenn, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 689-4274.
Dr Jordan Holly Mendoza is licensed to practice in Colorado (license number DR.0054231) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154646990.
Physician's Profile
| Full Name | Dr Jordan Holly Mendoza |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 16 Years |
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| Location | 11160 Huron St Ste 31, Northglenn, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jordan Holly Mendoza attended and graduated from University Of Colorado School Of Medicine, Denver in 2010
NPI Data:
- NPI Number: 1154646990
- Provider Enumeration Date: 04/05/2010
- Last Update Date: 04/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 1052532033
- Enrollment ID: I20141015001924
Medical Identifiers
Medical identifiers for Dr Jordan Holly Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154646990 | NPI | - | NPPES |
| 25009371 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | DR.0054231 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Health Initiatives Colorado | 8022927342 | 1266 |
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 Jordan Holly Mendoza allows following entities to bill medicare on her behalf.
| Entity Name | Colorado Permanente Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640 |
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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 Jordan Holly 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 |
|---|
Dr Jordan Holly Mendoza, MD
11160 Huron St Ste 31,
Northglenn, CO 80234-3335
Ph: (720) 689-4274 | Dr Jordan Holly Mendoza, MD
11160 Huron St Ste 31,
Northglenn, CO 80234-3335
Ph: (720) 689-4274 |
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