Dr Dominic John Gentile, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St Box 801002, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 243-0223.
Dr Dominic John Gentile is licensed to practice in Virginia (license number 0116040335) 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 1548831084.
Physician's Profile
Full Name | Dr Dominic John Gentile |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1215 Lee St Box 801002, Charlottesville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548831084
- Provider Enumeration Date: 07/06/2021
- Last Update Date: 06/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335544113
- Enrollment ID: I20240924000220
Medical Identifiers
Medical identifiers for Dr Dominic John Gentile such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548831084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 9068 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0116040335 (Virginia) | 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. Dr Dominic John Gentile allows following entities to bill medicare on his behalf.
Entity Name | Alegent Creighton Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
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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. Dr Dominic John Gentile 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 |
Dr Dominic John Gentile, MD 1215 Lee St Box 801002, Charlottesville, VA 22908-0816 Ph: (434) 243-0223 | Dr Dominic John Gentile, MD 1215 Lee St Box 801002, Charlottesville, VA 22908-0816 Ph: (434) 243-0223 |
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