Carolina Mendez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Secaucus, New Jersey. Her current practice location is
595 County Ave, Building #10, Secaucus, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(414) 324-0182.
Carolina Mendez is licensed to practice in New Jersey (license number 35SI00481800) 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 1992004378.
Healthcare Provider's Profile
| Full Name | Carolina Mendez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 595 County Ave, Secaucus, New Jersey |
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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: 1992004378
- Provider Enumeration Date: 03/24/2011
- Last Update Date: 03/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 7517144207
- Enrollment ID: I20190411001155
Medical Identifiers
Medical identifiers for Carolina Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992004378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 35SI00481800 (New Jersey) | Primary |
| 103TC0700X | Psychologist - Clinical | 018423-1 (New York) | Secondary |
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. Carolina Mendez allows following entities to bill medicare on her behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235 |
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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. Carolina Mendez 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 |
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Carolina Mendez, PHD
719 Willow Ave, Apt. #8,
Hoboken, NJ 07030-4068
Ph: () - | Carolina Mendez, PHD
595 County Ave, Building #10,
Secaucus, NJ 07094-2605
Ph: (414) 324-0182 |
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