| Mr Jorge Luis Mena, FNP-C | |
|
2070 W Rudasill Rd Ste 130, Tucson, AZ 85704-7891 | |
| (520) 797-4468 | |
| (520) 797-4502 |
| Full Name | Mr Jorge Luis Mena |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2070 W Rudasill Rd Ste 130, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1891233037 | NPI | - | NPPES |
| Q057958 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 345031 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 251527 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Acadia General Hospital | Crowley, LA | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
| University Hospital & Clinics | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette General Medical Center Inc | 4688581457 | 75 |
| Entity Name | University Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jorge Luis Mena, FNP-C Po Box 910221, Dallas, TX 75391-0221 Ph: (520) 519-7775 | Mr Jorge Luis Mena, FNP-C 2070 W Rudasill Rd Ste 130, Tucson, AZ 85704-7891 Ph: (520) 797-4468 |
Patricia Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3870 W River Rd Ste 126, Tucson, AZ 85741 Phone: 520-219-6616 Fax: 520-742-6187 | |
Emily Snavely De La Rosa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way, Ste. 101, Tucson, AZ 85711 Phone: 520-694-1640 | |
Mrs. Hazel Echavez Mercado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10975 E White Sage Dr, Tucson, AZ 85747 Phone: 520-203-7531 Fax: 520-437-0390 | |
Mr. Daniel Leon Ross Jr., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 W Orange Grove Rd Unit A16, Tucson, AZ 85704 Phone: 520-909-3844 Fax: 520-308-5511 | |
Mrs. Diana Verdugo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 N Craycroft Rd, Tucson, AZ 85711 Phone: 520-519-8550 Fax: 520-747-3269 | |
Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693 | |
Holly Marie Hill, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 E District St, Tucson, AZ 85714 Phone: 520-584-5820 Fax: 520-514-1514 |