Dr William Mendoza, MD | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(850) 863-7607 | |
(205) 437-5998 |
Full Name | Dr William Mendoza |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 42 Years |
Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225096787 | NPI | - | NPPES |
059184923 | Other | AL | BCBS PROVIDER NUMBER |
03176 | Other | FL | BCBS |
059184924 | Other | AL | BCBS PROVIDER NUMBER |
262309900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME83187 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 142 |
Entity Name | Aspirus Riverview Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
Mailing Address | Practice Location Address |
---|---|
Dr William Mendoza, MD 2725 Edgewater Dr, Niceville, FL 32578-2310 Ph: (850) 897-9106 | Dr William Mendoza, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607 |
Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Dr. Michael C Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Lon A Boutiette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Jason H Adams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 |