Dominic Izzo, DO in Grand Ledge, MI - Medicare Family Medicine

Dominic Izzo, DO is a medicare enrolled "Family Medicine" physician in Grand Ledge, Michigan. His current practice location is 1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 627-2181.

Dominic Izzo is licensed to practice in Michigan (license number 5101027018) 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 1932723905.

Contact Information

	Dominic Izzo, DO
	1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223
	(517) 627-2181
	Not Available

Map and Direction

Physician's Profile

Full Name	Dominic Izzo
Gender	Male
Speciality	Family Medicine
Location	1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932723905
Provider Enumeration Date: 06/04/2020
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6507289600
Enrollment ID: I20230612002875

Medical Identifiers

Medical identifiers for Dominic Izzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932723905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101027018 (Michigan)	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. Dominic Izzo allows following entities to bill medicare on his behalf.

Entity Name	David J. Smith Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669523650 PECOS PAC ID: 2567431729 Enrollment ID: O20040925000140

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. Dominic Izzo 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
Dominic Izzo, DO 1035 Charlevoix Dr, Grand Ledge, MI 48837-2223 Ph: (517) 627-2181	Dominic Izzo, DO 1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223 Ph: (517) 627-2181

Reviews and Comments

Family Medicine Doctors in Grand Ledge, MI

Dr. Joseph Paul Van Ark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722
Dr. Kenneth Wynne Evans, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Charlevoix Dr, Grand Ledge, MI 48837 Phone: 517-627-0100 Fax: 517-627-0150
David J Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242
Dr. Barbara D Saxena, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1814 Fax: 517-622-0694
Dr. Quan D Nguyen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722
Eric G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181
Timothy J Izzo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242

Dominic Izzo, DO - Medicare Family Medicine in Grand Ledge, MI