Traceyan R Mendez, MD is a medicare enrolled "Family Medicine" physician in Lords Valley, Pennsylvania. Her current practice location is
750 Route 739, Lords Valley, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 775-7100.
Traceyan R Mendez is licensed to practice in Pennsylvania (license number MD453022) 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 1144260126.
Physician's Profile
Full Name | Traceyan R Mendez |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 750 Route 739, Lords Valley, Pennsylvania |
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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: 1144260126
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597778894
- Enrollment ID: I20141209000373
Medical Identifiers
Medical identifiers for Traceyan R Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144260126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 057831 (Georgia) | Secondary |
207Q00000X | Family Medicine | MD453022 (Pennsylvania) | 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. Traceyan R Mendez allows following entities to bill medicare on her behalf.
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
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Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
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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. Traceyan R Mendez 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 |
Traceyan R Mendez, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Traceyan R Mendez, MD 750 Route 739, Lords Valley, PA 18428-6058 Ph: (570) 775-7100 |
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