Mrs Mirella Mendoza, NP - Medicare Nurse Practitioner in King City, CA

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Mrs Mirella Mendoza, NP is a medicare enrolled "Nurse Practitioner - Family" in King City, California. Her current practice location is 122 E San Antonio Dr, King City, California. You can reach out to her office (for appointments etc.) via phone at (831) 385-5944.

Mrs Mirella Mendoza is licensed to practice in California (license number NP95008981) 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 1588165351.

Contact Information

Mrs Mirella Mendoza, NP
122 E San Antonio Dr,
King City, CA 93930
(831) 385-5944
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mirella Mendoza
GenderFemale
SpecialityNurse Practitioner - Family
Location122 E San Antonio Dr, King City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588165351
  • Provider Enumeration Date: 02/26/2018
  • Last Update Date: 07/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587901749
  • Enrollment ID: I20190125000407

Medical Identifiers

Medical identifiers for Mrs Mirella Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588165351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care A005537 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family NP95008981 (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. Mrs Mirella Mendoza allows following entities to bill medicare on her behalf.
Entity NameSouthern Monterey County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20050216000803

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. Mrs Mirella 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 AddressPractice Location Address
Mrs Mirella Mendoza, NP
122 E San Antonio Dr,
King City, CA 93930-2518

Ph: (831) 385-5944		Mrs Mirella Mendoza, NP
122 E San Antonio Dr,
King City, CA 93930

Ph: (831) 385-5944

Reviews and Comments


Nurse Practitioner Nurses in King City, CA

Ms. Barbara Corinne Pekema, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 210 Canal St, King City, CA 93930
Phone: 831-385-5471    
Mitchell Morta,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 E San Antonio Dr, King City, CA 93930
Phone: 831-385-5944    
Ms. Nancy Rivas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 S 1st St, King City, CA 93930
Phone: 831-737-3588    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.