Dexter Dong, PMHNP in San Diego, CA - Medicare Nurse Practitioner

Dexter Dong, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. His current practice location is 4077 Fifth Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 686-3800.

Dexter Dong is licensed to practice in California (license number 95026283) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144901844.

Contact Information

	Dexter Dong, PMHNP
	4077 Fifth Ave, San Diego, CA 92103-2105
	(619) 686-3800
	Not Available

Map and Direction

Provider's Profile

Full Name	Dexter Dong
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4077 Fifth Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144901844
Provider Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7911349147
Enrollment ID: I20240520002907

Medical Identifiers

Medical identifiers for Dexter Dong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144901844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95026283 (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. Dexter Dong allows following entities to bill medicare on his behalf.

Entity Name	Cooley Dickinson Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477596310 PECOS PAC ID: 8123090560 Enrollment ID: O20040806001098

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. Dexter 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
Dexter Dong, PMHNP 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: () -	Dexter Dong, PMHNP 4077 Fifth Ave, San Diego, CA 92103-2105 Ph: (619) 686-3800

Reviews and Comments

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Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
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Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Dexter Dong, PMHNP - Medicare Nurse Practitioner in San Diego, CA