Ms Lili Tom, RN, F-NP, LAC is a medicare enrolled "Nurse Practitioner - Family" provider in Fremont, California. Her current practice location is
39400 Paseo Padre Pkwy, Fremont, California. You can reach out to her office (for appointments etc.) via phone at
(510) 248-5198.
Ms Lili Tom is licensed to practice in California (license number NP9338) 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 1992807101.
Healthcare Provider's Profile
Full Name | Ms Lili Tom |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 39400 Paseo Padre Pkwy, Fremont, 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: 1992807101
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 01/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931387784
- Enrollment ID: I20110624000491
Medical Identifiers
Medical identifiers for Ms Lili Tom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992807101 | NPI | - | NPPES |
RN514707 | Other | CA | MEDI-CAL RENDERING NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 10751 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP9338 (California) | Primary |
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. Ms Lili Tom allows following entities to bill medicare on her behalf.
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Ms Lili Tom 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 |
Ms Lili Tom, RN, F-NP, LAC 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-5198 | Ms Lili Tom, RN, F-NP, LAC 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 248-5198 |
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