Dominique Stay Tecklenburg, PA-C - Medicare Physician Assistant in Orem, UT

Dominique Stay Tecklenburg, PA-C is a medicare enrolled "Physician Assistant" in Orem, Utah. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Community Health Partners and her current practice location is 435 S 660 W, Orem, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 691-4980.

Dominique Stay Tecklenburg is licensed to practice in * (Not Available) (license number ) 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 1639877475.

Contact Information

Dominique Stay Tecklenburg, PA-C
435 S 660 W,
Orem, UT 84058-6078
(801) 691-4980
Not Available

Map and Direction




Provider's Profile

Full NameDominique Stay Tecklenburg
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location435 S 660 W, Orem, Utah
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:
  • Dominique Stay Tecklenburg graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1639877475
  • Provider Enumeration Date: 02/21/2023
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072968668
  • Enrollment ID: I20231017003888

Medical Identifiers

Medical identifiers for Dominique Stay Tecklenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639877475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Regional Medical CenterFresno, CAHospital
Saint Agnes Medical CenterFresno, CAHospital
Kaweah Delta Medical CenterVisalia, CAHospital
Adventist Health HanfordHanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Partners6608280268460

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. Dominique Stay Tecklenburg 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
Dominique Stay Tecklenburg, PA-C
435 S 660 W,
Orem, UT 84058-6078

Ph: () -
Dominique Stay Tecklenburg, PA-C
435 S 660 W,
Orem, UT 84058-6078

Ph: (801) 691-4980

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.