| Michel A Mendoza, | |
|
133 E Frederick St, Lancaster, PA 17602-2222 | |
| (717) 394-9821 | |
| (717) 394-0175 |
| Full Name | Michel A Mendoza |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 133 E Frederick St, Lancaster, Pennsylvania |
| 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 |
|---|---|---|---|
| 1912491572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN614264 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upmc Pinnacle Anesthesia Services Llc | 1951662980 | 145 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Entity Name | Upmc Pinnacle Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730693979 PECOS PAC ID: 1951662980 Enrollment ID: O20180307001977 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20201111000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Michel A Mendoza, Po Box 783068, Philadelphia, PA 19178-3068 Ph: () - | Michel A Mendoza, 133 E Frederick St, Lancaster, PA 17602-2222 Ph: (717) 394-9821 |
Jacqueline N Mast, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Ms. Julia Darlene Fuller, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-7890 Fax: 717-544-7151 | |
Lilia Brice, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Jerome Broad, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 555 N Duke St, Lancaster, PA 17602 Phone: 717-544-5511 | |
Meridith Ranck, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 133 E Frederick St, Lancaster, PA 17602 Phone: 717-394-9821 Fax: 717-394-0175 | |
Lindsay Danielle Brennan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 North Duke Street, Lancaster, PA 17602 Phone: 717-544-4676 Fax: 717-544-7157 | |
Mr. Donald Edgar Keck Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 133 E Frederick St, Lancaster, PA 17602 Phone: 717-394-0175 |