| Richard J Mendieta, MD | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5371 | |
| (740) 446-5711 |
| Full Name | Richard J Mendieta |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821045204 | NPI | - | NPPES |
| 310917085028 | Other | OH | CARESOURCE MEDICAID |
| 0111033000 | Medicaid | WV | |
| 000000007410 | Other | ANTHEM BCBS | |
| 000000181967 | Other | OH | UNISON MEDICAID |
| 2037718 | Other | OH | MOLINA MEDICAID |
| 370008914 | Other | RR MEDICARE | |
| 001714096 | Other | MOUNTAIN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 19317 (West Virginia) | Secondary |
| 208000000X | Pediatrics | 35.072682 (Ohio) | Secondary |
| 208000000X | Pediatrics | 35-07-2682 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Mendieta, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1949 | Richard J Mendieta, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 |
Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Marina D. Burgess, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |