Amanda Mendoza, PA - Medicare Physician Assistant in Grand Rapids, MI

Amanda Mendoza, PA is a medicare enrolled "Physician Assistant" in Grand Rapids, Michigan. Her current practice location is 300 Lafayette Ave Se Ste 2045, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-3098.

Amanda Mendoza is licensed to practice in * (Not Available) (license number ) 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 1013620707.

Contact Information

Amanda Mendoza, PA
300 Lafayette Ave Se Ste 2045,
Grand Rapids, MI 49503-4692
(616) 685-3098
Not Available



Provider's Profile

Full NameAmanda Mendoza
GenderFemale
SpecialityPhysician Assistant
Location300 Lafayette Ave Se Ste 2045, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013620707
  • Provider Enumeration Date: 12/28/2022
  • Last Update Date: 12/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062883960
  • Enrollment ID: I20230131001779

Medical Identifiers

Medical identifiers for Amanda Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013620707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Amanda 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
Amanda Mendoza, PA
3 Burr Oak St Nw,
Grand Rapids, MI 49505-6280

Ph: (810) 278-5952
Amanda Mendoza, PA
300 Lafayette Ave Se Ste 2045,
Grand Rapids, MI 49503-4692

Ph: (616) 685-3098

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Physician Assistant Nurses in Grand Rapids, MI

Justin Michael Miller, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525
Phone: 616-459-7101    
Alexandra Bengel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503
Phone: 616-267-8540    
Nicole Marie Tompkins, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, A721, Grand Rapids, MI 49503
Phone: 616-391-3139    Fax: 616-391-3044
Tabetha Emily Tenney, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4069 Lake Dr Se, Grand Rapids, MI 49546
Phone: 616-267-7469    
Ashley Lauren Ek, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506
Phone: 616-717-5141    Fax: 616-717-5145
Emily Elizabeth Zecic, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 80 68th St Se, Grand Rapids, MI 49548
Phone: 616-391-8242    
Mr. Ethan Jordan Lacourt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-3139    

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