Michael Jesse Mendoza, PSYD - Medicare Psychologist in Tampa, FL

Michael Jesse Mendoza, PSYD is a medicare enrolled "Psychologist" provider in Tampa, Florida. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Tampa General Medical Group Inc and his current practice location is 409 Bayshore Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 844-5688.

Michael Jesse Mendoza is licensed to practice in Florida (license number PY7603) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215189204.

Contact Information

Michael Jesse Mendoza, PSYD
409 Bayshore Blvd,
Tampa, FL 33606-2707
(813) 844-5688
(813) 844-4142

Map and Direction




Healthcare Provider's Profile

Full NameMichael Jesse Mendoza
GenderMale
SpecialityClinical Psychologist
Experience17 Years
Location409 Bayshore Blvd, Tampa, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Jesse Mendoza graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1215189204
  • Provider Enumeration Date: 10/21/2008
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729245626
  • Enrollment ID: I20120203000725

Medical Identifiers

Medical identifiers for Michael Jesse Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215189204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY7603 (Florida)Secondary
103T00000XPsychologist PY7603 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tampa General HospitalTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tampa General Medical Group Inc7416253828227

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. Michael Jesse Mendoza allows following entities to bill medicare on his behalf.
Entity NameFlorida Health Sciences Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196510
PECOS PAC ID: 1759277841
Enrollment ID: O20040225000764
Entity NameTampa General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043557853
PECOS PAC ID: 7416253828
Enrollment ID: O20160310002525

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. Michael Jesse 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 AddressPractice Location Address
Michael Jesse Mendoza, PSYD
Po Box 1289,
Tampa, FL 33601-1289

Ph: (813) 844-7712
Michael Jesse Mendoza, PSYD
409 Bayshore Blvd,
Tampa, FL 33606-2707

Ph: (813) 844-5688

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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