Heather Mendoza, PMHNP in Southlake, TX - Medicare Nurse Practitioner

Heather Mendoza, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southlake, Texas. Her current practice location is 431 E State Highway 114 Fl 1, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Heather Mendoza is licensed to practice in Texas (license number 1107935) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073228508.

Contact Information

	Heather Mendoza, PMHNP
	431 E State Highway 114 Fl 1, Southlake, TX 76092-4412
	(844) 824-8775
	Not Available

Map and Direction

Provider's Profile

Full Name	Heather Mendoza
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	431 E State Highway 114 Fl 1, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073228508
Provider Enumeration Date: 01/19/2023
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1153787346
Enrollment ID: I20230512001671

Medical Identifiers

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

Identifier	Type	State	Issuer
1073228508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1107935 (Texas)	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. Heather Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

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. Heather 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
Heather Mendoza, PMHNP 431 E State Hwy 114 1st Floor, Southlake, TX 76092 Ph: () -	Heather Mendoza, PMHNP 431 E State Highway 114 Fl 1, Southlake, TX 76092-4412 Ph: (844) 824-8775

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104

Heather Mendoza, PMHNP - Medicare Nurse Practitioner in Southlake, TX