Dr Edita Extra-mendoza, MD - Medicare Internal Medicine in Green Valley, AZ

Dr Edita Extra-mendoza, MD is a medicare enrolled "Internal Medicine" physician in Green Valley, Arizona. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Arizona Community Physicians Pc and her current practice location is 1055 N. La Canada Blvd, Suite 121, Green Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 547-7770.

Dr Edita Extra-mendoza is licensed to practice in Arizona (license number 24412) 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 1326023839.

Contact Information

Dr Edita Extra-mendoza, MD
1055 N. La Canada Blvd, Suite 121,
Green Valley, AZ 85614
(520) 547-7770
(520) 547-7775



Physician's Profile

Full NameDr Edita Extra-mendoza
GenderFemale
SpecialityInternal Medicine
Experience36 Years
Location1055 N. La Canada Blvd, Green Valley, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edita Extra-mendoza graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1326023839
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 04/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5496790420
  • Enrollment ID: I20050621000707

Medical Identifiers

Medical identifiers for Dr Edita Extra-mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326023839NPI-NPPES
449787MedicaidAZ
Z145043OtherAZMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 24412 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tucson Medical CenterTucson, AZHospital
Northwest Medical CenterTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Community Physicians Pc4587560552158

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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 Edita Extra-mendoza allows following entities to bill medicare on her behalf.
Entity NameArizona Community Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205871076
PECOS PAC ID: 4587560552
Enrollment ID: O20031210000500

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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. Dr Edita Extra-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 Edita Extra-mendoza, MD
5055 E Broadway Blvd, Suite A100,
Tucson, AZ 85711

Ph: (520) 382-1205
Dr Edita Extra-mendoza, MD
1055 N. La Canada Blvd, Suite 121,
Green Valley, AZ 85614

Ph: (520) 547-7770

News Archive

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For patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial in the November issue of Neurosurgery, official journal of the Congress of Neurological Surgeons.

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Read more News

› Verified 7 days ago


Internal Medicine Doctors in Green Valley, AZ

Howard J Rolins, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 W Camino Casa Verde, Green Valley, AZ 85614
Phone: 520-625-1760    Fax: 520-648-1394
Dr. Sivamurthy Kyathari, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614
Phone: 520-689-7030    Fax: 520-395-9796
Rossa Khalaf, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 121 W Esperanza Blvd # 181, Green Valley, AZ 85614
Phone: 520-689-6992    Fax: 520-230-3310
Dr. Marvin B Padnick, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614
Phone: 520-393-4863    
Joy L Logan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4475 S L-19 Frontage Road, Suite 101, Green Valley, AZ 85614
Phone: 520-585-4590    Fax: 520-398-7540
Dr. Fred P Mendoza, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N. Lacanada Blvd, Suite 121, Green Valley, AZ 85614
Phone: 520-547-7770    Fax: 520-547-7775
Ruben Calvillo, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614
Phone: 520-694-3030    Fax: 520-694-3055

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