Emmanuel Mendoza, PA-C is a medicare enrolled "Physician Assistant" in Vancleave, Mississippi. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bienville Orthopaedic Specialists, Llc and his current practice location is
6300 E Lake Blvd Ste 201, Vancleave, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 230-2663.
Emmanuel Mendoza is licensed to practice in Mississippi (license number PA00846) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225856602.
Provider's Profile
| Full Name | Emmanuel Mendoza |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 6300 E Lake Blvd Ste 201, Vancleave, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emmanuel Mendoza graduated from nursing school in 2024
NPI Data:
- NPI Number: 1225856602
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395269179
- Enrollment ID: I20250414002988
Medical Identifiers
Medical identifiers for Emmanuel Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225856602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA00846 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bienville Orthopaedic Specialists, Llc | 0547155178 | 42 |
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. Emmanuel 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 |
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Emmanuel Mendoza, PA-C
6300 E Lake Blvd Ste 301,
Vancleave, MS 39565-6771
Ph: (228) 230-2663 | Emmanuel Mendoza, PA-C
6300 E Lake Blvd Ste 201,
Vancleave, MS 39565-6771
Ph: (228) 230-2663 |
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