Dr Lisandra Mendoza, PSYD - Medicare Psychologist in St. Petersburg, FL

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Dr Lisandra Mendoza, PSYD is a medicare enrolled "Psychologist" provider in St. Petersburg, Florida. Her current practice location is 7901 4th St N Ste 300, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 204-3616.

Dr Lisandra Mendoza is licensed to practice in Florida (license number PY10974) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205408440.

Contact Information

Dr Lisandra Mendoza, PSYD
7901 4th St N Ste 300,
St. Petersburg, FL 33702
(305) 204-3616
(888) 279-6619

Map and Direction




Healthcare Provider's Profile

Full NameDr Lisandra Mendoza
GenderFemale
SpecialityPsychologist
Location7901 4th St N Ste 300, St. Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205408440
  • Provider Enumeration Date: 07/16/2021
  • Last Update Date: 01/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951704899
  • Enrollment ID: I20210729001328

Medical Identifiers

Medical identifiers for Dr Lisandra Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205408440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY10974 (Florida)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. Dr Lisandra Mendoza allows following entities to bill medicare on her behalf.
Entity NameAvatar Cognitive And Behavioral Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558097691
PECOS PAC ID: 8325576861
Enrollment ID: O20250110001924

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. Dr Lisandra 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
Dr Lisandra Mendoza, PSYD
7901 4th St N Ste 300,
St. Petersburg, FL 33702

Ph: (305) 204-3616		Dr Lisandra Mendoza, PSYD
7901 4th St N Ste 300,
St. Petersburg, FL 33702

Ph: (305) 204-3616

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.

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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.