Dr Dorothy Wanjeru Mbondo, CRNA in Stockton, CA - Medicare Nurse Anesthetist, Certified Registered

Dr Dorothy Wanjeru Mbondo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockton, California. Her current practice location is 1800 N California St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 662-4749.

Dr Dorothy Wanjeru Mbondo is licensed to practice in California (license number 95001960) 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 1053026419.

Contact Information

	Dr Dorothy Wanjeru Mbondo, CRNA
	1800 N California St, Stockton, CA 95204-6019
	(209) 662-4749
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Dorothy Wanjeru Mbondo
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1800 N California St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053026419
Provider Enumeration Date: 01/20/2023
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9436515970
Enrollment ID: I20230525001403

Medical Identifiers

Medical identifiers for Dr Dorothy Wanjeru Mbondo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053026419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95001960 (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. Dr Dorothy Wanjeru Mbondo allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Services Of San Joaquin Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174

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. Dr Dorothy Wanjeru Mbondo 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
Dr Dorothy Wanjeru Mbondo, CRNA 2537 River Plaza Dr Apt 67, Sacramento, CA 95833-3264 Ph: (502) 592-9580	Dr Dorothy Wanjeru Mbondo, CRNA 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 662-4749

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stockton, CA

Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000
Khang Do, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556

Dr Dorothy Wanjeru Mbondo, CRNA - Medicare Nurse Anesthetist, Certified Registered in Stockton, CA