Guillermo Alfredo Mendoza Fonseca, MD is a medicare enrolled "General Practice" physician in Oviedo, Florida. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1285898288
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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