Wynnyee L Tom, MD in Fremont, CA - Medicare Pediatrics

Wynnyee L Tom, MD is a medicare enrolled "Pediatrics" physician 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) 795-3000.

Wynnyee L Tom is licensed to practice in California (license number A77626) 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 1972688299.

Contact Information

	Wynnyee L Tom, MD
	39400 Paseo Padre Pkwy, Fremont, CA 94538-2310
	(510) 795-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Wynnyee L Tom
Gender	Female
Speciality	Pediatrics
Location	39400 Paseo Padre Pkwy, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972688299
Provider Enumeration Date: 10/26/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 1052596715
Enrollment ID: I20110425000372

Medical Identifiers

Medical identifiers for Wynnyee L Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972688299	NPI	-	NPPES
00A776260	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A77626 (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. Wynnyee L Tom allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Wynnyee L 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
Wynnyee L Tom, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Wynnyee L Tom, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000

Reviews and Comments

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Wynnyee L Tom, MD - Medicare Pediatrics in Fremont, CA