Individual ProviderRowena MendozaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2559(718) 636-0794(718) 630-7824PECOS EnrollmentBased on the most recent information from CMS, provider Rowena Mendoza is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1376865907Provider TypeIndividualFull NameMendoza, RowenaTitleMs.CredentialPAGenderFemaleSole ProprietorYesEnumeration Date2/24/2010Last Updated2/24/2010Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2559Phone(718) 636-0794Fax(718) 490-5292Mailing LocationMailing Address5800 3rd Ave, Brooklyn, NY 11220-3702Phone(718) 630-7824Fax(714) 630-7437Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense003553New York