Carly Mendoza, FNP in Hampton Bays, NY - Medicare Nurse Practitioner

Carly Mendoza, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hampton Bays, New York. Her current practice location is 4 Springville Rd Ste B, Hampton Bays, New York. You can reach out to her office (for appointments etc.) via phone at (631) 283-2430.

Carly Mendoza is licensed to practice in New York (license number 352512) 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 1861173213.

Contact Information

	Carly Mendoza, FNP
	4 Springville Rd Ste B, Hampton Bays, NY 11946-2290
	(631) 283-2430
	Not Available

Map and Direction

Provider's Profile

Full Name	Carly Mendoza
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4 Springville Rd Ste B, Hampton Bays, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861173213
Provider Enumeration Date: 07/28/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0345775235
Enrollment ID: I20241202002731

Medical Identifiers

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

Identifier	Type	State	Issuer
1861173213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	352512 (New York)	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. Carly Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Meeting House Lane Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089

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. Carly 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
Carly Mendoza, FNP 2692 Route 104, East Quogue, NY 11942-3709 Ph: (631) 255-0168	Carly Mendoza, FNP 4 Springville Rd Ste B, Hampton Bays, NY 11946-2290 Ph: (631) 283-2430

Reviews and Comments

Nurse Practitioner Nurses in Hampton Bays, NY

Elizabeth Mary Cramer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Red Creek Road, Hampton Bays, NY 11946 Phone: 516-662-2246
Taryn Bitzer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 E Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-604-4022
Maureen Elizabeth Stefanidis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 W Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-728-4700
Mrs. Barbara Jeanne Bendowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 West Montauk Highway, Hampton Bays, NY 11946 Phone: 631-728-4700
Mrs. Maura Jean Jeffrey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Suffolk Rd, Hampton Bays, NY 11946 Phone: 631-728-3865
Shannon Marie Munday, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 W Montauk Hwy, Hampton Bays, NY 11946 Phone: 631-728-4700
Haley Ann Ketcham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Long Ln, Hampton Bays, NY 11946 Phone: 631-566-5217

Carly Mendoza, FNP - Medicare Nurse Practitioner in Hampton Bays, NY