Laurena Nelly Dongmo Fotsing, - Medicare Family Medicine in Vallejo, CA

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Laurena Nelly Dongmo Fotsing, is a medicare enrolled "Family Medicine - Adult Medicine" physician in Vallejo, California. Her current practice location is 365 Tuolumne St, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 553-5509.

Laurena Nelly Dongmo Fotsing is licensed to practice in California (license number A183988) 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 1003433699.

Contact Information

Laurena Nelly Dongmo Fotsing,
365 Tuolumne St,
Vallejo, CA 94590-5700
(707) 553-5509
Not Available

Map and Direction




Physician's Profile

Full NameLaurena Nelly Dongmo Fotsing
GenderFemale
SpecialityFamily Medicine - Adult Medicine
Location365 Tuolumne St, Vallejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003433699
  • Provider Enumeration Date: 06/29/2020
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688026800
  • Enrollment ID: I20240123003267

Medical Identifiers

Medical identifiers for Laurena Nelly Dongmo Fotsing such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003433699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine A183988 (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. Laurena Nelly Dongmo Fotsing allows following entities to bill medicare on her behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameStat Med Pc A California Medical Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891132106
PECOS PAC ID: 1850528530
Enrollment ID: O20140204000122

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. Laurena Nelly Dongmo Fotsing 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
Laurena Nelly Dongmo Fotsing,
1310 Club Dr,
Vallejo, CA 94592-1187

Ph: (707) 638-5285		Laurena Nelly Dongmo Fotsing,
365 Tuolumne St,
Vallejo, CA 94590-5700

Ph: (707) 553-5509

Reviews and Comments


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Phone: 707-651-1000    

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.