Guillermo Alfredo Mendoza Fonseca, MD is a medicare enrolled "General Practice" physician in Oviedo, Florida. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
2572 W State Road 426 Ste 3040, Oviedo, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 890-9748.
Guillermo Alfredo Mendoza Fonseca is licensed to practice in Florida (license number ME117112) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285898288.
Physician's Profile
| Full Name | Guillermo Alfredo Mendoza Fonseca |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 2572 W State Road 426 Ste 3040, Oviedo, Florida |
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| Accepts Medicare Assignments | Yes. He 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:
- Guillermo Alfredo Mendoza Fonseca graduated from medical school in 2001
NPI Data:
- NPI Number: 1285898288
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072680115
- Enrollment ID: I20131028000665
Medical Identifiers
Medical identifiers for Guillermo Alfredo Mendoza Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285898288 | NPI | - | NPPES |
| ME117112 | Other | FL | MEDICAL LICENSE |
| 009890300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME117112 (Florida) | Secondary |
| 207R00000X | Internal Medicine | MD12761 (Rhode Island) | Secondary |
| 208D00000X | General Practice | ME117112 (Florida) | Primary |
Medical Facilities Affiliation
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. Guillermo Alfredo Mendoza Fonseca allows following entities to bill medicare on his behalf.
| Entity Name | Dr Guillermo Mendoza-int Med-llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932686003
PECOS PAC ID: 9133464399
Enrollment ID: O20181218000134 |
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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. Guillermo Alfredo Mendoza Fonseca 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 |
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Guillermo Alfredo Mendoza Fonseca, MD
2572 W State Road 426 Ste 3040,
Oviedo, FL 32765-8389
Ph: (407) 890-9748 | Guillermo Alfredo Mendoza Fonseca, MD
2572 W State Road 426 Ste 3040,
Oviedo, FL 32765-8389
Ph: (407) 890-9748 |
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