Dominique Gagnon, is a medicare enrolled "Family Medicine" physician in Littlefield, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Virginia Hospital Center Physician Group Llc and her current practice location is
1500 S Sunset Ave, Littlefield, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 385-6411.
Dominique Gagnon is licensed to practice in Texas (license number T2166) 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 1548826605.
Physician's Profile
| Full Name | Dominique Gagnon |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 7 Years |
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| Location | 1500 S Sunset Ave, Littlefield, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Dominique Gagnon attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2019
NPI Data:
- NPI Number: 1548826605
- Provider Enumeration Date: 05/14/2019
- Last Update Date: 06/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244619500
- Enrollment ID: I20220617000119
Medical Identifiers
Medical identifiers for Dominique Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548826605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | T2166 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
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 Gagnon allows following entities to bill medicare on her behalf.
| Entity Name | Lamb Healthcare Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700854288
PECOS PAC ID: 6103738471
Enrollment ID: O20040127000737 |
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| Entity Name | Dominique Gagnon Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508593831
PECOS PAC ID: 5092185009
Enrollment ID: O20230110000157 |
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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 Gagnon 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 Gagnon,
1500 S Sunset Ave,
Littlefield, TX 79339-4899
Ph: (806) 385-6411 | Dominique Gagnon,
1500 S Sunset Ave,
Littlefield, TX 79339-4899
Ph: (806) 385-6411 |
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