Mission Urology - Medicare Primary Care in Riverside, CA

Mission Urology is a medicare enrolled primary clinic (Urology) in Riverside, California. The current practice location for Mission Urology is 4500 Brockton Ave, Suite 301, Riverside, California. For appointments, you can reach them via phone at (951) 276-4505. The mailing address for Mission Urology is Po Box 7270, Moreno Valley, California and phone number is (951) 656-1500.

Mission Urology is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063874337. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 276-4505.

Contact Information

Mission Urology
4500 Brockton Ave
Suite 301
Riverside
CA 92501-4027
(951) 276-4505
(951) 276-4517

Primary Care Clinic Profile

Full NameMission Urology
SpecialityUrology
Location4500 Brockton Ave, Riverside, California
Authorized Official Name and PositionJo-ann Mendoza (PRESIDENT)
Authorized Official Contact9512764505
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mission Urology
Po Box 7270
Moreno Valley
CA 92552-7270

Ph: (951) 656-1500
Mission Urology
4500 Brockton Ave
Suite 301
Riverside
CA 92501-4027

Ph: (951) 276-4505

NPI Details:

NPI Number1063874337
Provider Enumeration Date03/24/2016
Last Update Date06/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2466751888
Medicare Enrollment IDO20160505001643

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Medical Identifiers

Medical identifiers for Mission Urology such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063874337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208800000XUrology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mission Urology acts as a billing entity for following providers:
Provider NameSy Tsi
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1194743864
PECOS PAC ID: 9537058508
Enrollment ID: I20040315001332

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Provider NameKen Takesita
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1629243837
PECOS PAC ID: 0547338923
Enrollment ID: I20081013000329

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Urology in Riverside, CA

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