Kendra V Mingo, in Washington, DC - Medicare Physician Assistant

Kendra V Mingo, is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. Her current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 476-5000.

Kendra V Mingo is licensed to practice in Virginia (license number 0110007374) 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 1043846199.

Contact Information

	Kendra V Mingo,
	111 Michigan Ave Nw, Washington, DC 20010-2916
	(202) 476-5000
	Not Available

Provider's Profile

Full Name	Kendra V Mingo
Gender	Female
Speciality	Physician Assistant
Location	111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043846199
Provider Enumeration Date: 03/20/2020
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6709293947
Enrollment ID: I20210406000154

Medical Identifiers

Medical identifiers for Kendra V Mingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043846199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	0110007374 (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. Kendra V Mingo 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 Address	Practice Location Address
Kendra V Mingo, Po Box 744785, Atlanta, GA 30374-4785 Ph: (202) 476-5000	Kendra V Mingo, 111 Michigan Ave Nw, Washington, DC 20010-2916 Ph: (202) 476-5000

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Kendra V Mingo, - Medicare Physician Assistant in Washington, DC