Jose Mendoza Flores Jr, is a medicare enrolled "Pediatrics" physician in Trinidad, Colorado. His current practice location is
400 Benedicta Ave, Ste A, Trinidad, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 846-2206.
Jose Mendoza Flores Jr is licensed to practice in Colorado (license number 44293) 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 1265481410.
Physician's Profile
| Full Name | Jose Mendoza Flores Jr |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 400 Benedicta Ave, Trinidad, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265481410
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 04/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274545157
- Enrollment ID: I20060613000321
Medical Identifiers
Medical identifiers for Jose Mendoza Flores Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265481410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 44293 (Colorado) | Primary |
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. Jose Mendoza Flores Jr allows following entities to bill medicare on his behalf.
| Entity Name | Trinidad Area Health Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467400309
PECOS PAC ID: 2769394055
Enrollment ID: O20031111000178 |
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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. Jose Mendoza Flores Jr 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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Jose Mendoza Flores Jr,
400 Benedicta Ave, Ste A,
Trinidad, CO 81082-2089
Ph: (719) 846-2206 | Jose Mendoza Flores Jr,
400 Benedicta Ave, Ste A,
Trinidad, CO 81082-2089
Ph: (719) 846-2206 |
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