Dominique Lucienne Mall, MD in Mission Hills, CA

Dominique Lucienne Mall, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mission Hills, California. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice High Desert Nephrology Medical Associates Inc and her current practice location is 11211 Sepulveda Blvd, Mission Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-9531.

Dominique Lucienne Mall is licensed to practice in California (license number A86680) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821043423.

Contact Information

	Dominique Lucienne Mall, MD
	11211 Sepulveda Blvd, Mission Hills, CA 91345-1115
	(818) 365-9531
	Not Available

Map and Direction

Physician's Profile

Full Name	Dominique Lucienne Mall
Gender	Female
Speciality	Internal Medicine
Experience	38 Years
Location	11211 Sepulveda Blvd, Mission Hills, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dominique Lucienne Mall graduated from medical school in 1986

NPI Data:

NPI Number: 1821043423
Provider Enumeration Date: 05/23/2006
Last Update Date: 07/17/2012

Medicare PECOS Information:

PECOS PAC ID: 1153395629
Enrollment ID: I20040820000778

Medical Identifiers

Medical identifiers for Dominique Lucienne Mall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821043423	NPI	-	NPPES
0A8668000	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A86680 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center	Apple valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
High Desert Nephrology Medical Associates Inc	2860439288	6

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. Dominique Lucienne Mall allows following entities to bill medicare on her behalf.

Entity Name	High Desert Nephrology Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407865652 PECOS PAC ID: 2860439288 Enrollment ID: O20050415000858

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. Dominique Lucienne Mall 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
Dominique Lucienne Mall, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5637	Dominique Lucienne Mall, MD 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 Ph: (818) 365-9531

Reviews and Comments

Internal Medicine Doctors in Mission Hills, CA

Armin Tahoori, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531
Hayka Hovsepyan, MD Nephrology Medicare: Medicare Enrolled Practice Location: 14901 Rinaldi St Ste 200, Mission Hills, CA 91345 Phone: 818-365-8553 Fax: 818-365-5763
Dr. Donald Rebhun, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4510 Fax: 818-838-7510
Samuel M Nyamu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11333 N Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7248 Fax: 818-869-2709
Pascal Dabel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345 Phone: 818-365-1194 Fax: 818-898-3835
Dr. Carmen S Slavov, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 14901 Rinaldi St, Ste 200, Mission Hills, CA 91345 Phone: 818-254-1500 Fax: 818-244-4830
Mohammad Reza Nahed, MD FCCP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11550 Indian Hills Rd, 301, Mission Hills, CA 91345 Phone: 818-365-4585 Fax: 818-365-5265

Dominique Lucienne Mall, MD - Medicare Internal Medicine in Mission Hills, CA