Ms Julissa Mendoza, MD - Medicare Family Medicine in Fort Gordon, GA

Ms Julissa Mendoza, MD is a medicare enrolled "Family Medicine" physician in Fort Gordon, Georgia. Her current practice location is 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 787-9358.

Ms Julissa Mendoza is licensed to practice in Virginia (license number 0101253176) 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 1528356771.

Contact Information

Ms Julissa Mendoza, MD
300 W Hospital Rd, Eisenhower Army Medical Center,
Fort Gordon, GA 30905-5741
(706) 787-9358
Not Available



Physician's Profile

Full NameMs Julissa Mendoza
GenderFemale
SpecialityFamily Medicine
Location300 W Hospital Rd, Fort Gordon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528356771
  • Provider Enumeration Date: 07/20/2011
  • Last Update Date: 10/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1153553557
  • Enrollment ID: I20140417001866

Medical Identifiers

Medical identifiers for Ms Julissa Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528356771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101253176 (Virginia)Primary

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. Ms Julissa 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
Ms Julissa Mendoza, MD
300 W Hospital Rd,
Fort Gordon, GA 30905-5741

Ph: (706) 787-9356
Ms Julissa Mendoza, MD
300 W Hospital Rd, Eisenhower Army Medical Center,
Fort Gordon, GA 30905-5741

Ph: (706) 787-9358

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Family Medicine Doctors in Fort Gordon, GA

Dr. Eric Larson Doane, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Road, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905
Phone: 706-787-2183    Fax: 706-787-0330
Dr. Virginia Yates, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905
Phone: 706-787-2776    
Amayi Maria Bloodsaw, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 301 East Hospital Road, Fort Gordon, GA 30905
Phone: 706-787-9352    
Dr. Rakesh Kumar Sharma, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905
Phone: 706-787-7300    Fax: 706-787-0254
Dr. Johnie Stuart Tillman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Attn: Credentials, Fort Gordon, GA 30905
Phone: 706-592-6722    Fax: 706-787-8176
Marvin Dees, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Hospital Rd, Meb, Fort Gordon, GA 30905
Phone: 706-787-1590    
Dr. Mary Digiulio, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 Hospital Dr, Fmc, Dfcm, Fort Gordon, GA 30905
Phone: 707-373-5829    

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