Dr David Dwight Domenella, DDS - Medicare Dentist in Richmond, IL

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Dr David Dwight Domenella, DDS is a medicare enrolled "Dentist" provider in Richmond, Illinois. His current practice location is 9716 Us Highway 12, Richmond, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 678-2800.

Dr David Dwight Domenella is licensed to practice in Illinois (license number 019.019680) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427217918.

Contact Information

Dr David Dwight Domenella, DDS
9716 Us Highway 12,
Richmond, IL 60071-9253
(815) 678-2800
(815) 678-4807

Map and Direction




Healthcare Provider's Profile

Full NameDr David Dwight Domenella
GenderMale
SpecialityDentist
Location9716 Us Highway 12, Richmond, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427217918
  • Provider Enumeration Date: 06/09/2008
  • Last Update Date: 10/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4789965567
  • Enrollment ID: I20170110002399

Medical Identifiers

Medical identifiers for Dr David Dwight Domenella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427217918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019.019680 (Illinois)Primary

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. Dr David Dwight Domenella 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
Dr David Dwight Domenella, DDS
9716 Us Highway 12,
Richmond, IL 60071-9253

Ph: (815) 678-2800		Dr David Dwight Domenella, DDS
9716 Us Highway 12,
Richmond, IL 60071-9253

Ph: (815) 678-2800

Reviews and Comments


Dentist in Richmond, IL

Dr. Lisa Marie Salisbury, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 10015 Main Street, Richmond, IL 60071
Phone: 815-678-4551    Fax: 815-678-4555
Dr. Roland John Barnes, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Il Route 173, Richmond, IL 60071
Phone: 815-678-7751    Fax: 815-678-6062
Dr. James Kevin Reichle, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 10015 Main St., Richmond, IL 60071
Phone: 815-678-4551    Fax: 815-678-4555

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.