Trace Mendler, PA is a medicare enrolled "Physician Assistant" physician in Seattle, Washington. His current practice location is
4311 11th Ave Ne Ste 200, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 616-4001.
Trace Mendler is licensed to practice in Washington (license number PA61106151) 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 1720696768.
Physician's Profile
Full Name | Trace Mendler |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 4311 11th Ave Ne Ste 200, Seattle, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720696768
- Provider Enumeration Date: 07/15/2020
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618380874
- Enrollment ID: I20221025000473
Medical Identifiers
Medical identifiers for Trace Mendler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720696768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 14157 (Minnesota) | Secondary |
363A00000X | Physician Assistant | 14157 (Minnesota) | Secondary |
363A00000X | Physician Assistant | PA61106151 (Washington) | 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. Trace Mendler 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 |
Trace Mendler, PA 3616 Hartzel Dr, Spring Valley, CA 91977-2017 Ph: (619) 944-7012 | Trace Mendler, PA 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 Ph: (206) 616-4001 |
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