Mr Mychael Dennis Mendoza, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alexandria, VA

Mr Mychael Dennis Mendoza, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alexandria, Virginia. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Virginia, Llc and his current practice location is 4320 Seminary Rd, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 766-9699.

Mr Mychael Dennis Mendoza is licensed to practice in Virginia (license number 0024168164) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194964213.

Contact Information

Mr Mychael Dennis Mendoza, CRNA
4320 Seminary Rd,
Alexandria, VA 22304-1535
(703) 766-9699
Not Available



Provider's Profile

Full NameMr Mychael Dennis Mendoza
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location4320 Seminary Rd, Alexandria, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mychael Dennis Mendoza graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1194964213
  • Provider Enumeration Date: 02/12/2009
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1355408386
  • Enrollment ID: I20090319000049

Medical Identifiers

Medical identifiers for Mr Mychael Dennis Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194964213NPI-NPPES
1194964213MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024168164 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Alexandria HospitalAlexandria, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Virginia, Llc6608268826349

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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. Mr Mychael Dennis Mendoza allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Of Virginia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417994872
PECOS PAC ID: 6800790023
Enrollment ID: O20031120000429

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Entity NameNorth American Partners In Anesthesia (virginia), Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922031442
PECOS PAC ID: 9931192739
Enrollment ID: O20040407000294

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Entity NameNorthstar Anesthesia Of Virginia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194488791
PECOS PAC ID: 6608268826
Enrollment ID: O20220120002585

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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. Mr Mychael Dennis 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
Mr Mychael Dennis Mendoza, CRNA
68 S Service Rd, Suote 350,
Melville, NY 11747-2358

Ph: (516) 945-3000
Mr Mychael Dennis Mendoza, CRNA
4320 Seminary Rd,
Alexandria, VA 22304-1535

Ph: (703) 766-9699

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Nurse Anesthetist, Certified Registered Nurses in Alexandria, VA

Mr. Valentine Jean Toussaint Niles, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4320 Seminary Rd, Alexandria, VA 22304
Phone: 703-504-3521    
Stephen C Winfrey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6355 Walker Ln, 200, Alexandria, VA 22310
Phone: 703-922-9501    Fax: 703-922-5347
David Trowbridge, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4320 Seminary Rd, Alexandria, VA 22304
Phone: 703-504-3789    Fax: 703-504-3556
Mrs. Judith R Williams, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4320 Seminary Rd, Alexandria, VA 22304
Phone: 703-766-9697    
Ms. Mary Jane Kearney, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Parkers Ln, Alexandria, VA 22306
Phone: 703-295-9360    
Anna Morgan,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Parkers Ln, Alexandria, VA 22306
Phone: 703-664-7000    

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