Dominga Basurto Hearons, NP is a medicare enrolled "Pediatrics" in Bakersfield, California. Her current practice location is
9508 Stockdale Hwy Ste 150, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at
(661) 663-7500.
Dominga Basurto Hearons is licensed to practice in California (license number 95017706) 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 1275105942.
Provider's Profile
| Full Name | Dominga Basurto Hearons |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 9508 Stockdale Hwy Ste 150, Bakersfield, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275105942
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082078530
- Enrollment ID: I20230915002964
Medical Identifiers
Medical identifiers for Dominga Basurto Hearons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275105942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95017706 (California) | Secondary |
| 208000000X | Pediatrics | 95017706 (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. Dominga Basurto Hearons allows following entities to bill medicare on her behalf.
| Entity Name | Clinica Sierra Vista |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861494338
PECOS PAC ID: 3870407505
Enrollment ID: O20031117000928 |
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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. Dominga Basurto Hearons 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 |
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Dominga Basurto Hearons, NP
24422 Avenida De La Carlota Ste 300,
Laguna Hills, CA 92653-3628
Ph: (949) 599-2434 | Dominga Basurto Hearons, NP
9508 Stockdale Hwy Ste 150,
Bakersfield, CA 93311-3623
Ph: (661) 663-7500 |
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