Jennifer Dong, MS, LAC is a medicare enrolled "Physician Assistant" provider in Duarte, California. Her current practice location is
1227 Buena Vista St Ste F, Duarte, California. You can reach out to her office (for appointments etc.) via phone at
(877) 254-4496.
Jennifer Dong is licensed to practice in California (license number 1200079) 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 1215442207.
Healthcare Provider's Profile
Full Name | Jennifer Dong |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1227 Buena Vista St Ste F, Duarte, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215442207
- Provider Enumeration Date: 12/12/2017
- Last Update Date: 02/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254706674
- Enrollment ID: I20230417000753
Medical Identifiers
Medical identifiers for Jennifer Dong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215442207 | NPI | - | NPPES |
62155 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC17606 (California) | Secondary |
363A00000X | Physician Assistant | 1200079 (California) | 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. Jennifer Dong 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 |
Jennifer Dong, MS, LAC 2100 S Lark Ellen Ave Apt 55, West Covina, CA 91792-1136 Ph: () - | Jennifer Dong, MS, LAC 1227 Buena Vista St Ste F, Duarte, CA 91010-2486 Ph: (877) 254-4496 |
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