Joann Callorina Dominguez, MD is a medicare enrolled "Hospitalist" provider in Oakland, California. She went to University Of Nevada School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is
350 Hawthorne Ave, Room 2346, Oakland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 869-6883.
Joann Callorina Dominguez is licensed to practice in California (license number A117117) 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 1811003809.
Healthcare Provider's Profile
| Full Name | Joann Callorina Dominguez |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 350 Hawthorne Ave, Oakland, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joann Callorina Dominguez attended and graduated from University Of Nevada School Of Medicine in 2009
NPI Data:
- NPI Number: 1811003809
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911162094
- Enrollment ID: I20120625000239
Medical Identifiers
Medical identifiers for Joann Callorina Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811003809 | NPI | - | NPPES |
| A117117 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 16698 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | A117117 (California) | Secondary |
| 208M00000X | Hospitalist | A117117 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sutter Bay Medical Foundation | 4284538778 | 2995 |
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. Joann Callorina Dominguez allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Joann Callorina 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 |
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Joann Callorina Dominguez, MD
3687 Mt Diablo Blvd, Suite 200,
Lafayette, CA 94549-3717
Ph: (916) 854-6975 | Joann Callorina Dominguez, MD
350 Hawthorne Ave, Room 2346,
Oakland, CA 94609-3108
Ph: (510) 869-6883 |
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