| Jose E Mendoza Iii, MD | |
|
1813 Nagel Rd Ste 500, Avon, OH 44011-6401 | |
| (440) 937-4600 | |
| (440) 937-4605 |
| Full Name | Jose E Mendoza Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1813 Nagel Rd Ste 500, Avon, Ohio |
| 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 |
|---|---|---|---|
| 1578533659 | NPI | - | NPPES |
| 5619197341C96 | Other | OH | BLUECROSS BLUESHIELD |
| 0974594 | Medicaid | OH | |
| 3025372 | Medicaid | OH | |
| 0236248 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35-06-6480-M (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35066480 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Lorain Llc | 1355474172 | 31 |
| Entity Name | Mercy Health Physicians Lorain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose E Mendoza Iii, MD Po Box 636643, Cincinnati, OH 45263-6461 Ph: (440) 989-3801 | Jose E Mendoza Iii, MD 1813 Nagel Rd Ste 500, Avon, OH 44011-6401 Ph: (440) 937-4600 |
Dr. Sheila Mary Rice, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36711 American Way Ste A, Avon, OH 44011 Phone: 440-653-8091 Fax: 440-653-8089 | |
Larisa Schwartzman, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 33100 Cleveland Clinic Blvd, Avon, OH 44011 Phone: 440-695-4000 | |
Rossana Danese, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 36321 Oakview Ln, Avon, OH 44011 Phone: 440-934-6139 | |
Laura A Davis Luarde, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2535 Hale St, Avon, OH 44011 Phone: 440-934-8810 Fax: 440-934-8811 | |
Annie R Tan, M..D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33100 Cleveland Clinic Blvd, Avon, OH 44011 Phone: 440-695-4000 | |
Dr. Anish Kumar Pattisapu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33300 Cleveland Clinic Blvd # 2-1, Avon, OH 44011 Phone: 440-695-4000 | |
Andrew Shirali Goldblum, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 33355 Health Campus Blvd, Avon, OH 44011 Phone: 440-934-0489 |