Bianca Mendoza, OD is a medicare enrolled "Optometrist" provider in Mattawa, Washington. Her current practice location is
601 Government Rd, Mattawa, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 488-5256.
Bianca Mendoza is licensed to practice in Washington (license number OD61335432) 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 1306572326.
Healthcare Provider's Profile
| Full Name | Bianca Mendoza |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 601 Government Rd, Mattawa, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306572326
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537542667
- Enrollment ID: I20220822003121
Medical Identifiers
Medical identifiers for Bianca Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306572326 | NPI | - | NPPES |
| OD61335432 | Other | WA | DOH LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD61335432 (Washington) | 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. Bianca Mendoza allows following entities to bill medicare on her behalf.
| Provider Name | Columbia Basin Health Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528316379
PECOS PAC ID: 4486564309
Enrollment ID: O20040209000250 |
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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. Bianca 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 |
|---|
Bianca Mendoza, OD
1515 E Columbia St,
Othello, WA 99344-1846
Ph: (509) 488-5250 | Bianca Mendoza, OD
601 Government Rd,
Mattawa, WA 99349-5120
Ph: (509) 488-5256 |
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