Jonathan Ace Cezo Mendoza, is a
Physical Medicine & Rehabilitation physician based in Klamath Falls, Oregon. Jonathan Ace Cezo Mendoza is licensed to practice in Oregon (license number 60387) and his current practice location is 2345 Biehn St, Klamath Falls, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 882-4612.
NPI number for Jonathan Ace Cezo Mendoza is 1194358986 and his current mailing address is 4507 Cannon Ave Apt 27, Klamath Falls, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194358986.
Physician's Profile
| Full Name | Jonathan Ace Cezo Mendoza |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2345 Biehn St, Klamath Falls, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194358986
- Provider Enumeration Date: 02/19/2020
- Last Update Date: 02/19/2020
Medical Identifiers
Medical identifiers for Jonathan Ace Cezo Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194358986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 60387 (Oregon) | Primary |
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. Jonathan Ace Cezo Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Ace Cezo Mendoza,
4507 Cannon Ave Apt 27,
Klamath Falls, OR 97603-6769
Ph: () - | Jonathan Ace Cezo Mendoza,
2345 Biehn St,
Klamath Falls, OR 97601-1761
Ph: (541) 882-4612 |
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