Maria Mendoza, | |
3106 Carrie St, Peru, IL 61354-1494 | |
(815) 993-3520 | |
(815) 220-1670 |
Full Name | Maria Mendoza |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 33 Years |
Location | 3106 Carrie St, Peru, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962811828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056007738 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paxxon Healthcare Services Llc | 8325959554 | 181 |
Provider Name | Paxxon Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
Mailing Address | Practice Location Address |
---|---|
Maria Mendoza, 3106 Carrie St, Peru, IL 61354-1494 Ph: (815) 993-3520 | Maria Mendoza, 3106 Carrie St, Peru, IL 61354-1494 Ph: (815) 993-3520 |
Julie A Condie, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1621 26th St, Peru, IL 61354 Phone: 815-223-3885 Fax: 815-223-3885 | |
Kimberly Rubio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479 Fax: 815-223-4489 | |
Joan Elizabeth Boska, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Midtown Rd, Peru, IL 61354 Phone: 815-538-1354 | |
Mrs. Amy Lynn Bolelli, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Walnut St, Peru, IL 61354 Phone: 815-780-3509 Fax: 814-224-6744 |