Susana Maribel Mendoza, MD in Los Angeles, CA

Susana Maribel Mendoza, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Los Angeles, California. Her current practice location is 4700 W Sunset Blvd, 2nd Floor, Nephrology Department, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 783-5987.

Susana Maribel Mendoza is licensed to practice in California (license number A87787) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255463592.

Contact Information

	Susana Maribel Mendoza, MD
	4700 W Sunset Blvd, 2nd Floor, Nephrology Department, Los Angeles, CA 90027-6082
	(323) 783-5987
	Not Available

Map and Direction

Physician's Profile

Full Name	Susana Maribel Mendoza
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	4700 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255463592
Provider Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5496841652
Enrollment ID: I20071018000679

Medical Identifiers

Medical identifiers for Susana Maribel Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255463592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A87787 (California)	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. Susana Maribel Mendoza allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Susana Maribel 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
Susana Maribel Mendoza, MD 8920 Murietta Ave, Panorama City, CA 91402-2628 Ph: (310) 903-1364	Susana Maribel Mendoza, MD 4700 W Sunset Blvd, 2nd Floor, Nephrology Department, Los Angeles, CA 90027-6082 Ph: (323) 783-5987

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Nephrology Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Susana Maribel Mendoza, MD - Medicare Internal Medicine in Los Angeles, CA