Theodore Bulacan Mendoza Iii, FNP-BC - Medicare Nurse Practitioner in Arlington, TX

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Theodore Bulacan Mendoza Iii, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Arlington, Texas. His current practice location is 6407 S Cooper St Ste 117, Arlington, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 472-7601.

Theodore Bulacan Mendoza Iii is licensed to practice in Texas (license number AP136094) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336645928.

Contact Information

Theodore Bulacan Mendoza Iii, FNP-BC
6407 S Cooper St Ste 117,
Arlington, TX 76001-5813
(817) 472-7601
Not Available

Map and Direction




Provider's Profile

Full NameTheodore Bulacan Mendoza Iii
GenderMale
SpecialityNurse Practitioner - Family
Location6407 S Cooper St Ste 117, Arlington, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336645928
  • Provider Enumeration Date: 04/03/2018
  • Last Update Date: 04/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375808926
  • Enrollment ID: I20180531001085

Medical Identifiers

Medical identifiers for Theodore Bulacan Mendoza Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336645928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP136094 (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. Theodore Bulacan Mendoza Iii allows following entities to bill medicare on his behalf.
Entity NameWalk-in & Urgent Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912277260
PECOS PAC ID: 4183888506
Enrollment ID: O20171002003124
Entity NameUnited Primary Clinic Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881419620
PECOS PAC ID: 9032646260
Enrollment ID: O20241230000151

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. Theodore Bulacan Mendoza Iii 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
Theodore Bulacan Mendoza Iii, FNP-BC
7328 Laguna,
Grand Prairie, TX 75054-0139

Ph: (972) 898-8933		Theodore Bulacan Mendoza Iii, FNP-BC
6407 S Cooper St Ste 117,
Arlington, TX 76001-5813

Ph: (817) 472-7601

Reviews and Comments


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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).

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