Mike A Mendiola, BS | |
1004 Progress Dr, Ste 100, Lansing, KS 66043-6326 | |
(913) 351-3838 | |
(913) 351-3939 |
Full Name | Mike A Mendiola |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 1004 Progress Dr, Lansing, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144361015 | NPI | - | NPPES |
MA4370099 | Other | MO | MEDICARE PTAN |
753561 | Other | OPTUM | |
KA2868072 | Other | KS | MEDICARE PTAN |
USES NPI | Other | KS | BCBS-KANSAS |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130517000516 |
Mailing Address | Practice Location Address |
---|---|
Mike A Mendiola, BS 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Mike A Mendiola, BS 1004 Progress Dr, Ste 100, Lansing, KS 66043-6326 Ph: (913) 351-3838 |
Katherine Marie Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Dustin Douglas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3586 | |
Leif Erick Sanford, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 E Kansas St Ste C, Lansing, KS 66043 Phone: 913-758-0283 | |
Trisha M. Mcculloch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 712 1st Ter, Ste 103, Lansing, KS 66043 Phone: 913-727-2022 Fax: 913-727-2033 | |
Erin Katie Idacavage, PT, MPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Progress Dr Ste 100, Lansing, KS 66043 Phone: 913-351-3838 Fax: 913-351-3939 | |
Linda A Stelter, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 N Plaza Dr, Lansing, KS 66043 Phone: 913-727-1284 |