Laurena Nelly Dongmo Fotsing, in Vallejo, CA

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 Name	Laurena Nelly Dongmo Fotsing
Gender	Female
Speciality	Family Medicine - Adult Medicine
Location	365 Tuolumne St, Vallejo, California
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1003433699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family 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 Name	Stat Med Pc A California Medical Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Family Medicine Doctors in Vallejo, CA

Donn R. Erickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Saw Sein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 304, Vallejo, CA 94589 Phone: 707-643-6483 Fax: 707-643-3018
Dr. Gabriel Flaxman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1025
Yasmin Crespo-mejias, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4801
Joseph M. Grondahl, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Robyn Anne Lakamsani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Drive, Minor Injury Center, Kaiser Medical Center, Vallejo, CA 94589 Phone: 925-518-2297

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