Mrs Vanessa Domush, WHNP-BC in Signal Hill, CA

Mrs Vanessa Domush, WHNP-BC is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Signal Hill, California. Her current practice location is 845 E Willow St, Signal Hill, California. You can reach out to her office (for appointments etc.) via phone at (209) 765-9463.

Mrs Vanessa Domush is licensed to practice in California (license number 95003149) 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 1477922102.

Contact Information

	Mrs Vanessa Domush, WHNP-BC
	845 E Willow St, Signal Hill, CA 90755-2736
	(209) 765-9463
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Vanessa Domush
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	845 E Willow St, Signal Hill, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477922102
Provider Enumeration Date: 09/23/2015
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 4183923964
Enrollment ID: I20160428001739

Medical Identifiers

Medical identifiers for Mrs Vanessa Domush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477922102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	95003149 (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. Mrs Vanessa Domush allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Vanessa Domush 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
Mrs Vanessa Domush, WHNP-BC 845 E Willow St, Signal Hill, CA 90755-2736 Ph: (209) 765-9463	Mrs Vanessa Domush, WHNP-BC 845 E Willow St, Signal Hill, CA 90755-2736 Ph: (209) 765-9463

Reviews and Comments

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Mrs Vanessa Domush, WHNP-BC - Medicare Nurse Practitioner in Signal Hill, CA