Jairo Enrigue Mendoza, MD in Olympia, WA - Medicare Family Medicine

Jairo Enrigue Mendoza, MD is a medicare enrolled "Family Medicine" physician in Olympia, Washington. His current practice location is 1620 Cooper Point Rd Sw, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 486-6710.

Jairo Enrigue Mendoza is licensed to practice in Washington (license number MD61469474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982227062.

Contact Information

	Jairo Enrigue Mendoza, MD
	1620 Cooper Point Rd Sw, Olympia, WA 98502-5736
	(360) 486-6710
	(360) 705-0269

Map and Direction

Physician's Profile

Full Name	Jairo Enrigue Mendoza
Gender	Male
Speciality	Family Medicine
Location	1620 Cooper Point Rd Sw, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982227062
Provider Enumeration Date: 05/22/2020
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7618365156
Enrollment ID: I20231031001771

Medical Identifiers

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

Identifier	Type	State	Issuer
1982227062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61469474 (Washington)	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. Jairo Enrigue Mendoza allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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. Jairo Enrigue 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
Jairo Enrigue Mendoza, MD Po Box 3360, Portland, OR 97208-3360 Ph: () -	Jairo Enrigue Mendoza, MD 1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 Ph: (360) 486-6710

Reviews and Comments

Family Medicine Doctors in Olympia, WA

Amihan A Ferrer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000
Michael W Balfe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Terry Rice, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282
Gordon Wheat, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000
Mr. Aaron J. Beck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Cooper Point Rd Sw, Olympia, WA 98502 Phone: 360-486-6710 Fax: 360-705-0269
Bahram Badri, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Dr. Kelvie A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-7230 Fax: 360-493-4180

Jairo Enrigue Mendoza, MD - Medicare Family Medicine in Olympia, WA