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Donna Mendonca

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

470 Clarkson Ave # Msc50, Brooklyn, NY 11203-2012

PECOS Enrollment

Based on the most recent information from CMS, provider Donna Mendonca is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710413786
Provider Type
Individual
Full Name
Mendonca, Donna
Title
Dr.
Credential
DNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/11/2017
Last Updated
5/30/2023

Contact Information

Practice Location

470 Clarkson Ave # Msc50, Brooklyn, NY 11203-2012

(718) 221-6195

(718) 270-1559

Mailing Location

470 Clarkson Ave # Msc50, Brooklyn, NY 11203-2012

(718) 221-6195

(718) 270-1559

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F341223-1 New York

Donna Mendonca

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Brown, Marlena Nicole

Lokoyi, Abiola

Phedre Phara Paulemon

Emokpae, Miriam O

Irving-Brantley, Aquina

Barbee, Claire

Lowtan, Mohandai Roma

Duncan St Hillaire, Dara Beverly

Broomes, Jacqueline

Thomas, Mavis