Savannah Star Dominguez, CRNA, RN,DNP in Stanford, CA - Medicare Nurse Anesthetist, Certified Registered

Savannah Star Dominguez, CRNA, RN,DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Savannah Star Dominguez is licensed to practice in California (license number 95002184) 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 1568142073.

Contact Information

	Savannah Star Dominguez, CRNA, RN,DNP
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Savannah Star Dominguez
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568142073
Provider Enumeration Date: 07/19/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2163877606
Enrollment ID: I20231018002060

Medical Identifiers

Medical identifiers for Savannah Star Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568142073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95002184 (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. Savannah Star Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Savannah Star Dominguez 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
Savannah Star Dominguez, CRNA, RN,DNP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Savannah Star Dominguez, CRNA, RN,DNP 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stanford, CA

Kevin Matoke Ogutu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kana Watanabe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-3333
Ray Roazol, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kristy Autumn Nathan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kevin Lok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Christina Quinn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Miss Geraldine Flanagan Diskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr Rm H3580, Stanford, CA 94305 Phone: 650-723-6412

Savannah Star Dominguez, CRNA, RN,DNP - Medicare Nurse Anesthetist, Certified Registered in Stanford, CA