Bethany Mendoza, in Fullerton, CA - Medicare Social Worker Provider

Bethany Mendoza, is a medicare enrolled "Social Worker - Clinical" provider in Fullerton, California. Her current practice location is 1407 N Placentia Ave Apt 128, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 822-9219.

Bethany Mendoza is licensed to practice in California (license number 105914) 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 1750946943.

Contact Information

	Bethany Mendoza,
	1407 N Placentia Ave Apt 128, Fullerton, CA 92831-2569
	(714) 822-9219
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Mendoza
Gender	Female
Speciality	Social Worker - Clinical
Location	1407 N Placentia Ave Apt 128, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750946943
Provider Enumeration Date: 05/03/2019
Last Update Date: 03/26/2025

Medicare PECOS Information:

PECOS PAC ID: 5496276040
Enrollment ID: I20250311003490

Medical Identifiers

Medical identifiers for Bethany Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750946943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	105914 (California)	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. Bethany Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Menda Behavioral Health Services Of California, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962108779 PECOS PAC ID: 6709251192 Enrollment ID: O20230418000709

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. Bethany 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
Bethany Mendoza, 1407 N Placentia Ave Apt 128, Fullerton, CA 92831-2569 Ph: (714) 822-9219	Bethany Mendoza, 1407 N Placentia Ave Apt 128, Fullerton, CA 92831-2569 Ph: (714) 822-9219

Reviews and Comments

Social Worker in Fullerton, CA

Mr. Dennis Dion Durby, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 524 W Commonwealth Ave, Suite K, Fullerton, CA 92832 Phone: 714-680-0241
Tammy Mckee, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 East Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7000
Robert Alexis Chacon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7074
Andrea Alexia Carrera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave Ste 203, Fullerton, CA 92831 Phone: 714-680-9000
Christy C Molino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 N Highland Ave Apt 201, Fullerton, CA 92832 Phone: 310-722-3512
Jene Moio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1370 Brea Blvd., Suite 210, Fullerton, CA 92835 Phone: 310-498-0107
Adriana Cervantes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave Ste 203, Fullerton, CA 92831 Phone: 714-680-9000

Bethany Mendoza, - Medicare Clinical Social Worker in Fullerton, CA