Mignon Avendano Enecilla, MD is a medicare enrolled "Family Medicine" in Geneva, New York. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Western New York Medical Practice Pc and her current practice location is
200 North St Ste 101, Geneva, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 787-5200.
Mignon Avendano Enecilla is licensed to practice in New York (license number 243069) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538367263.
Provider's Profile
| Full Name | Mignon Avendano Enecilla |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 200 North St Ste 101, Geneva, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mignon Avendano Enecilla graduated from nursing school in 1999
NPI Data:
- NPI Number: 1538367263
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395996557
- Enrollment ID: I20121115000604
Medical Identifiers
Medical identifiers for Mignon Avendano Enecilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538367263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 243069 (New York) | Secondary |
| 207Q00000X | Family Medicine | 243069 (New York) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 243069 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Western New York Medical Practice Pc | 3870767791 | 528 |
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. Mignon Avendano Enecilla allows following entities to bill medicare on her behalf.
| Entity Name | Rochester General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
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| Entity Name | Flh Medical PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165 |
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| Entity Name | Western New York Medical Practice PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
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| Entity Name | University of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20130619000286 |
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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. Mignon Avendano Enecilla 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 |
Mignon Avendano Enecilla, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: Not Available | Mignon Avendano Enecilla, MD 200 North St Ste 101, Geneva, NY 14456-1561 Ph: (315) 787-5200 |
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