Mendivil Clinic For Foot & Ankle - Medicare Primary Care in El Paso, TX

Mendivil Clinic For Foot & Ankle is a medicare enrolled primary clinic (Podiatrist - Foot & Ankle Surgery) in El Paso, Texas. The current practice location for Mendivil Clinic For Foot & Ankle is 11680 Montana Ave Ste C200, El Paso, Texas. For appointments, you can reach them via phone at (915) 206-5044. The mailing address for Mendivil Clinic For Foot & Ankle is 12339 Chianti Dr, El Paso, Texas and phone number is () -.

Mendivil Clinic For Foot & Ankle is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396524054. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (915) 206-5044.

Contact Information

Mendivil Clinic For Foot & Ankle
11680 Montana Ave Ste C200
El Paso
TX 79936-1461
(915) 206-5044
(915) 519-4671

Map and Direction


Primary Care Clinic Profile

Full NameMendivil Clinic For Foot & Ankle
SpecialityPodiatrist
Location11680 Montana Ave Ste C200, El Paso, Texas
Authorized Official Name and PositionJason Mendivil (OWNER)
Authorized Official Contact9153090513
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mendivil Clinic For Foot & Ankle
12339 Chianti Dr
El Paso
TX 79928-8644

Ph: () -
Mendivil Clinic For Foot & Ankle
11680 Montana Ave Ste C200
El Paso
TX 79936-1461

Ph: (915) 206-5044

NPI Details:

NPI Number1396524054
Provider Enumeration Date09/22/2023
Last Update Date02/27/2026

Medicare PECOS Information:

Medicare PECOS PAC ID3274988860
Medicare Enrollment IDO20231017003840

Medical Identifiers

Medical identifiers for Mendivil Clinic For Foot & Ankle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396524054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0102XSurgery - Surgical Critical Care (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mendivil Clinic For Foot & Ankle acts as a billing entity for following providers:
Provider NameHector Lopez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346243847
PECOS PAC ID: 1759564933
Enrollment ID: I20110325000025
Provider NameJason M Mendivil
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1790117893
PECOS PAC ID: 3577853845
Enrollment ID: I20160531000324
Provider NamePhilip E Fidler
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1689643637
PECOS PAC ID: 9739241118
Enrollment ID: I20180808001014
Provider NameJacqueline Mogusu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881162527
PECOS PAC ID: 4981942828
Enrollment ID: I20190219000847

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).

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.