Mr Dominic Tan Wong, GNP-BC - Medicare Nurse Practitioner in Panorama City, CA

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Mr Dominic Tan Wong, GNP-BC is a medicare enrolled "Nurse Practitioner" in Panorama City, California. His current practice location is 13652 Cantara St, Balboa Plaza Bldg, Panorama City, California. You can reach out to his office (for appointments etc.) via phone at (818) 832-7287.

Mr Dominic Tan Wong is licensed to practice in California (license number 15170) 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 1366472649.

Contact Information

Mr Dominic Tan Wong, GNP-BC
13652 Cantara St, Balboa Plaza Bldg,
Panorama City, CA 91402-5423
(818) 832-7287
(818) 250-0061

Map and Direction




Provider's Profile

Full NameMr Dominic Tan Wong
GenderMale
SpecialityNurse Practitioner
Location13652 Cantara St, Panorama City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366472649
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 02/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113922535
  • Enrollment ID: I20060918000530

Medical Identifiers

Medical identifiers for Mr Dominic Tan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366472649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN 587716 (California)Secondary
163W00000XRegistered Nurse 587716 (California)Secondary
163WG0600XRegistered Nurse - Gerontology NP 15170 (California)Secondary
363LG0600XNurse Practitioner - Gerontology 15170 (California)Secondary
363L00000XNurse Practitioner 15170 (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. Mr Dominic Tan Wong allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameMeticulous Health Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104570357
PECOS PAC ID: 1759757305
Enrollment ID: O20221021002486

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. Mr Dominic Tan Wong 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 AddressPractice Location Address
Mr Dominic Tan Wong, GNP-BC
15971 Thompson Ranch Drive,
Santa Clarita, CA 91387

Ph: (818) 288-2373		Mr Dominic Tan Wong, GNP-BC
13652 Cantara St, Balboa Plaza Bldg,
Panorama City, CA 91402-5423

Ph: (818) 832-7287

Reviews and Comments


Nurse Practitioner Nurses in Panorama City, CA

Gloria S Tongson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Tina J Woolfork, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Ms. Tenika Nettles, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9618 Van Nuys Blvd Apt 106, Panorama City, CA 91402
Phone: 323-684-4577    
Mary Bernadette Acuna Coburn, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Hilda Berenice Jacobo, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402
Phone: 818-899-5555    
Sharon M Poncher, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Velda C Mowry, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.