Shu Dong, NP - Medicare Nurse Practitioner in Banning, CA

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Shu Dong, NP is a medicare enrolled "Nurse Practitioner" in Banning, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Careathome Medical Practice and her current practice location is 12359 Malki Rd, Banning, California. You can reach out to her office (for appointments etc.) via phone at (951) 922-2058.

Shu Dong is licensed to practice in California (license number 20192) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376842005.

Contact Information

Shu Dong, NP
12359 Malki Rd,
Banning, CA 92220-6974
(951) 922-2058
(888) 551-2116

Map and Direction




Provider's Profile

Full NameShu Dong
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location12359 Malki Rd, Banning, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shu Dong graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1376842005
  • Provider Enumeration Date: 03/21/2011
  • Last Update Date: 07/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395987200
  • Enrollment ID: I20240423004096

Medical Identifiers

Medical identifiers for Shu Dong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376842005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1117425 (Texas)Secondary
363L00000XNurse Practitioner 20192 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Careathome Medical Practice418303587633

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. Shu Dong allows following entities to bill medicare on her behalf.
Entity NameUrban Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164594099
PECOS PAC ID: 7517935059
Enrollment ID: O20040922000333
Entity NameFive Star Medical Office Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760731459
PECOS PAC ID: 8820248016
Enrollment ID: O20121024000554
Entity NameCareathome Medical Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891319810
PECOS PAC ID: 4183035876
Enrollment ID: O20201202000517

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. Shu Dong 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
Shu Dong, NP
12359 Malki Rd,
Banning, CA 92220-6974

Ph: (951) 922-2058		Shu Dong, NP
12359 Malki Rd,
Banning, CA 92220-6974

Ph: (951) 922-2058

Reviews and Comments


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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.