Dr Dominique Mesidor, MD - Medicare Surgery in Bradenton, FL

Dr Dominique Mesidor, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Bradenton, Florida. Her current practice location is 2010 59th St W, Suite 2200, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 794-5621.

Dr Dominique Mesidor is licensed to practice in Georgia (license number 044539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033205091.

Contact Information

Dr Dominique Mesidor, MD
2010 59th St W, Suite 2200,
Bradenton, FL 34209-4616
(941) 794-5621
(941) 761-1532

Map and Direction




Physician's Profile

Full NameDr Dominique Mesidor
GenderFemale
SpecialitySurgery - Surgical Critical Care
Location2010 59th St W, Bradenton, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033205091
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 11/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769462365
  • Enrollment ID: I20040723000541

Medical Identifiers

Medical identifiers for Dr Dominique Mesidor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033205091NPI-NPPES
U1254XOtherFLMEDICARE
267667200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0127XSurgery - Trauma Surgery ME0086398 (Florida)Secondary
2086S0102XSurgery - Surgical Critical Care 044539 (Georgia)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 Dominique Mesidor allows following entities to bill medicare on her behalf.
Entity NameAustralian Prowfish Surgical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487052528
PECOS PAC ID: 7911222765
Enrollment ID: O20150219000405

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 Dominique Mesidor 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 Dominique Mesidor, MD
2010 59th St W, Suite 2200,
Bradenton, FL 34209-4616

Ph: (941) 794-5621
Dr Dominique Mesidor, MD
2010 59th St W, Suite 2200,
Bradenton, FL 34209-4616

Ph: (941) 794-5621

Reviews and Comments


Surgery Doctors in Bradenton, FL

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Phone: 941-794-5621    Fax: 941-761-1532
Mariano Arosemena, MD
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Practice Location: 6220 Manatee Ave W Ste 203, Bradenton, FL 34209
Phone: 941-795-6370    Fax: 941-798-9977

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.