Gabriela Mendoza, is a medicare enrolled "Speech-language Pathologist" provider in Sappington, Missouri. Her current practice location is
12470 Rott Rd, Sappington, Missouri. You can reach out to her office (for appointments etc.) via phone at
(866) 296-7739.
Gabriela Mendoza is licensed to practice in Missouri (license number 2024021245) 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 1821830175.
Healthcare Provider's Profile
| Full Name | Gabriela Mendoza |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 12470 Rott Rd, Sappington, Missouri |
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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: 1821830175
- Provider Enumeration Date: 06/08/2024
- Last Update Date: 06/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880137884
- Enrollment ID: I20240619000065
Medical Identifiers
Medical identifiers for Gabriela Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821830175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 2024021245 (Missouri) | 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. Gabriela Mendoza allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Missouri Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1417479494
PECOS PAC ID: 9234402470
Enrollment ID: O20170908002930 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083208391
PECOS PAC ID: 9830504836
Enrollment ID: O20210308002804 |
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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. Gabriela 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 |
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Gabriela Mendoza,
11515 Craig Ct Apt 421,
Saint Louis, MO 63146-5297
Ph: (816) 308-5597 | Gabriela Mendoza,
12470 Rott Rd,
Sappington, MO 63127-1222
Ph: (866) 296-7739 |
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