Edalyn Mendoza Ko, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Springfield, Oregon. She went to California School Of Podiatric Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Pacific Sports And Interventional Spine Llc, Advanced Foot And Ankle Specialists Of Oregon Llc and her current practice location is
2445 Beverly St Ste B, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 780-6654.
Edalyn Mendoza Ko is licensed to practice in Oregon (license number DP00360) 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 1265547277.
Healthcare Provider's Profile
| Full Name | Edalyn Mendoza Ko |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 26 Years |
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| Location | 2445 Beverly St Ste B, Springfield, Oregon |
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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. |
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Medical Education and Training:
- Edalyn Mendoza Ko attended and graduated from California School Of Podiatric Medicine in 2000
NPI Data:
- NPI Number: 1265547277
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 07/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335191238
- Enrollment ID: I20240316000538
Medical Identifiers
Medical identifiers for Edalyn Mendoza Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265547277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | DP00360 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pacific Sports And Interventional Spine Llc | 3072867316 | 15 |
| Advanced Foot And Ankle Specialists Of Oregon Llc | 2860746146 | 2 |
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. Edalyn Mendoza Ko allows following entities to bill medicare on her behalf.
| Provider Name | Advanced Foot & Ankle Specialists Of Oregon Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497232474
PECOS PAC ID: 2860746146
Enrollment ID: O20181204002416 |
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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. Edalyn Mendoza Ko 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 |
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Edalyn Mendoza Ko, DPM
2445 Beverly St Ste B,
Springfield, OR 97477-1910
Ph: () - | Edalyn Mendoza Ko, DPM
2445 Beverly St Ste B,
Springfield, OR 97477-1910
Ph: (541) 780-6654 |
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