| Dr David C Mendoza, MD | |
|
604 Ann St, Parkersburg, WV 26101-5122 | |
| (304) 865-5155 | |
| (304) 865-5156 |
| Full Name | Dr David C Mendoza |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 604 Ann St, Parkersburg, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255374856 | NPI | - | NPPES |
| 00361091 | Other | OH | RAILROAD MEDICARE |
| 00891585 | Other | WV | BLUE CROS BLUE SHIELD |
| 00368861 | Other | WV | RAILROAD MEDICARE |
| 0130407000 | Medicaid | WV | |
| 005292138 | Other | WV | AETNA |
| 0276339 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 18562 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Marietta Memorial Hospital | Marietta, OH | Hospital |
| Jackson General Hospital | Ripley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David C Mendoza, MD 600 18th St, Suite 303, Parkersburg, WV 26101-3231 Ph: (304) 424-4593 | Dr David C Mendoza, MD 604 Ann St, Parkersburg, WV 26101-5122 Ph: (304) 865-5155 |
Dr. Tawfik A Zein, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 604 Ann St, Parkersburg, WV 26101 Phone: 304-865-5155 | |
Dr. Patrick P Dugan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 604 Ann St, Parkersburg, WV 26101 Phone: 304-865-5155 Fax: 304-865-5156 |