Nayely Dominguez, is a medicare enrolled "Social Worker - Clinical" provider in Hollister, California. Her current practice location is
1131 Community Parkway, Hollister, California. You can reach out to her office (for appointments etc.) via phone at
(831) 636-4020.
Nayely Dominguez is licensed to practice in California (license number ) 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 1265909923.
Healthcare Provider's Profile
| Full Name | Nayely Dominguez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1131 Community Parkway, Hollister, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265909923
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688115793
- Enrollment ID: I20240917001364
Medical Identifiers
Medical identifiers for Nayely Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265909923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (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. Nayely Dominguez allows following entities to bill medicare on her behalf.
| Entity Name | San Benito County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255461471 PECOS PAC ID: 2860655669 Enrollment ID: O20120515000022 |
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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. Nayely 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 |
Nayely Dominguez, 145 Birch Ct, Chowchilla, CA 93610-9440 Ph: () - | Nayely Dominguez, 1131 Community Parkway, Hollister, CA 95023-3100 Ph: (831) 636-4020 |
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