Olivia Mendoza, NP - Medicare Nurse Practitioner in Petersburg, VA

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Olivia Mendoza, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petersburg, Virginia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Virginia South Psychiatric And Family Services and her current practice location is 269 Medical Park Blvd, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 861-0700.

Olivia Mendoza is licensed to practice in Virginia (license number 0024179022) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104452010.

Contact Information

Olivia Mendoza, NP
269 Medical Park Blvd,
Petersburg, VA 23805-9337
(804) 861-0700
Not Available

Map and Direction




Provider's Profile

Full NameOlivia Mendoza
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location269 Medical Park Blvd, Petersburg, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olivia Mendoza graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104452010
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 03/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436572468
  • Enrollment ID: I20200709002681

Medical Identifiers

Medical identifiers for Olivia Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104452010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024179022 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Virginia South Psychiatric And Family Services347644379731

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. Olivia Mendoza allows following entities to bill medicare on her behalf.
Entity NameVirginia South Psychiatric & Family Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700894466
PECOS PAC ID: 3476443797
Enrollment ID: O20040318001272

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. Olivia 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 AddressPractice Location Address
Olivia Mendoza, NP
207 N 4th Ave,
Hopewell, VA 23860-2503

Ph: (804) 541-0918		Olivia Mendoza, NP
269 Medical Park Blvd,
Petersburg, VA 23805-9337

Ph: (804) 861-0700

Reviews and Comments


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Ms. Erica Lynn Bagby, FNP-C
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Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.