Bruce L Domm, MD is a medicare enrolled "Family Medicine" physician in Casselton, North Dakota. His current practice location is
5 9th Ave N, Casselton, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 347-4445.
Bruce L Domm is licensed to practice in North Dakota (license number 5341) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730106329.
Physician's Profile
| Full Name | Bruce L Domm |
|---|
| Gender | Male |
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| Speciality | |
|---|
| Experience | Years |
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| Location | 5 9th Ave N, Casselton, North Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bruce L Domm attended and graduated from in
NPI Data:
- NPI Number: 1730106329
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 10/17/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bruce L Domm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730106329 | NPI | - | NPPES |
| 37983 | Other | ND | SIOUX VALLEY # |
| 0106110 | Other | ND | MEDICA # |
| 0108127 | Other | ND | MEDICA # |
| 112583400 | Medicaid | ND | |
| 142308 | Other | ND | UCARE # |
| ND100038 | Other | MN | LHS # |
| 0106108 | Other | ND | MEDICA # |
| 15375 | Medicaid | ND | |
| 93416DO | Other | ND | MNBS 3 |
| HP19507 | Other | ND | HEALTHPARTNERS # |
| 336 | Other | ND | NDBS # |
| DA9011015505 | Other | ND | PREFERRED ONE # |
| 00A28DO | Other | ND | MNBS # |
| 676560 | Other | ND | AMERICA'S PPO/ARAZ # |
| 93416DO | Other | ND | MNBS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5341 (North Dakota) | 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. Bruce L Domm 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 |
|---|
Bruce L Domm, MD
Po Box 6001,
Fargo, ND 58108-6001
Ph: (701) 364-3300 | Bruce L Domm, MD
5 9th Ave N,
Casselton, ND 58012-3339
Ph: (701) 347-4445 |
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