Rico Vincente. I. Mendoza,md,pa in Spartanburg, SC

Rico Vincente. I. Mendoza,md,pa is a medicare enrolled primary clinic (Internal Medicine - Critical Care Medicine) in Spartanburg, South Carolina. The current practice location for Rico Vincente. I. Mendoza,md,pa is 2030 North Church Place, Spartanburg, South Carolina. For appointments, you can reach them via phone at (864) 582-6858. The mailing address for Rico Vincente. I. Mendoza,md,pa is Po Box 4276, Spartanburg, South Carolina and phone number is (864) 582-6858.

Rico Vincente. I. Mendoza,md,pa is licensed to practice in South Carolina (license number 23156). The clinic also participates in the medicare program and its NPI number is 1457491441. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (864) 582-6858.

Contact Information

	Rico Vincente. I. Mendoza,md,pa
	2030 North Church Place Spartanburg SC 29303-2706
	(864) 582-6858
	(864) 585-0999

Map and Direction

Primary Care Clinic Profile

Full Name	Rico Vincente. I. Mendoza,md,pa
Speciality	Internal Medicine
Location	2030 North Church Place, Spartanburg, South Carolina
Authorized Official Name and Position	Darla M Brown (OFFICE MANAGER)
Authorized Official Contact	8645826858
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rico Vincente. I. Mendoza,md,pa Po Box 4276 Spartanburg SC 29305-4276 Ph: (864) 582-6858	Rico Vincente. I. Mendoza,md,pa 2030 North Church Place Spartanburg SC 29303-2706 Ph: (864) 582-6858

NPI Details:

NPI Number	1457491441
Provider Enumeration Date	02/07/2007
Last Update Date	12/19/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	1052371457
Medicare Enrollment ID	O20041011000530

Medical Identifiers

Medical identifiers for Rico Vincente. I. Mendoza,md,pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457491441	NPI	-	NPPES
231564	Medicaid	SC
DF9437	Other	SC	RAILROAD MEDICARE
8688	Other	SC	MBPG'S

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	23156 (South Carolina)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	23156 (South Carolina)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	23156 (South Carolina)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	23156 (South Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rico Vincente. I. Mendoza,md,pa acts as a billing entity for following providers:

Provider Name	Rico Vicente I Mendoza
Provider Type	Practitioner - Pulmonary Disease
Provider Identifiers	NPI Number: 1861466021 PECOS PAC ID: 4183640998 Enrollment ID: I20070904000091

Reviews and Comments

Internal Medicine in Spartanburg, SC

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051
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Rico Vincente. I. Mendoza,md,pa - Medicare Primary Care in Spartanburg, SC