Dominique Nimallah, is a medicare enrolled "Nurse Practitioner - Family" provider in Las Vegas, Nevada. She graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Res Wound Care Pllc and her current practice location is
1524 Pinto Ln Fl 2, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 992-6888.
Dominique Nimallah is licensed to practice in Nevada (license number 871748) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1528505427.
Healthcare Provider's Profile
| Full Name | Dominique Nimallah |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1524 Pinto Ln Fl 2, Las Vegas, Nevada |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominique Nimallah graduated from medical school in 2023
NPI Data:
- NPI Number: 1528505427
- Provider Enumeration Date: 01/30/2017
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961843180
- Enrollment ID: I20240517002988
Medical Identifiers
Medical identifiers for Dominique Nimallah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528505427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 871748 (Nevada) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Lorian Health | Las vegas, NV | Home health agency |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Res Wound Care Pllc | 8123548914 | 5 |
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. Dominique Nimallah allows following entities to bill medicare on her behalf.
| Entity Name | Unlv Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407397235
PECOS PAC ID: 4183991458
Enrollment ID: O20170517002454 |
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| Entity Name | Res Wound Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265248736
PECOS PAC ID: 8123548914
Enrollment ID: O20250224002381 |
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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. Dominique Nimallah 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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Dominique Nimallah,
3016 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-1973
Ph: (702) 780-2311 | Dominique Nimallah,
1524 Pinto Ln Fl 2,
Las Vegas, NV 89106-4195
Ph: (702) 992-6888 |
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