Jaime Renee Mendoza, PMHNP in Maryville, IL - Medicare Nurse Practitioner

Jaime Renee Mendoza, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Maryville, Illinois. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Associates Llc and her current practice location is 6805 State Route 162 Ste 201, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-5019.

Jaime Renee Mendoza is licensed to practice in Illinois (license number 27700144) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689915811.

Contact Information

	Jaime Renee Mendoza, PMHNP
	6805 State Route 162 Ste 201, Maryville, IL 62062
	(618) 288-5019
	(618) 288-5059

Map and Direction

Provider's Profile

Full Name	Jaime Renee Mendoza
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	6805 State Route 162 Ste 201, Maryville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaime Renee Mendoza graduated from nursing school in 2012

NPI Data:

NPI Number: 1689915811
Provider Enumeration Date: 03/13/2013
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3971743345
Enrollment ID: I20130708000393

Medical Identifiers

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

Identifier	Type	State	Issuer
1689915811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	27700144 (Illinois)	Primary
363LF0000X	Nurse Practitioner - Family	209010309 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Associates Llc	2961489992	10

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. Jaime Renee Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Hshs Holy Family Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205850690 PECOS PAC ID: 7517879349 Enrollment ID: O20040216000198

Entity Name	Southern Illinois Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962427856 PECOS PAC ID: 2961489992 Enrollment ID: O20040707000602

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. Jaime Renee 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
Jaime Renee Mendoza, PMHNP 6805 State Route 162 Ste 201, Maryville, IL 62062-8530 Ph: (618) 288-5019	Jaime Renee Mendoza, PMHNP 6805 State Route 162 Ste 201, Maryville, IL 62062 Ph: (618) 288-5019

Reviews and Comments

Nurse Practitioner Nurses in Maryville, IL

Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408

Jaime Renee Mendoza, PMHNP - Medicare Nurse Practitioner in Maryville, IL