Carlo Domingo, AGNP-C - Medicare Nurse Practitioner in Hainesville, IL

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Carlo Domingo, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Hainesville, Illinois. He went to Johns Hopkins University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Zeta Visiting Physician Llc and his current practice location is 4 N Deer Point Dr, Ste 1002, Hainesville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 946-0198.

Carlo Domingo is licensed to practice in Illinois (license number 209.019378) 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 1194251272.

Contact Information

Carlo Domingo, AGNP-C
4 N Deer Point Dr, Ste 1002,
Hainesville, IL 60030-3814
(847) 946-0198
Not Available

Map and Direction




Provider's Profile

Full NameCarlo Domingo
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location4 N Deer Point Dr, Hainesville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlo Domingo attended and graduated from Johns Hopkins University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1194251272
  • Provider Enumeration Date: 05/10/2017
  • Last Update Date: 10/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537595830
  • Enrollment ID: I20200205000961

Medical Identifiers

Medical identifiers for Carlo Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194251272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209.019378 (Illinois)Secondary
363LG0600XNurse Practitioner - Gerontology 209.019378 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
American Home Care Express IncLincolnwood, ILHome health agency
Meridian Home Health Care Services, IncHainesville, ILHome health agency
Excell Home Health PlusNorridge, ILHome health agency
Reliance Home Health Care, IncRolling mdws, ILHome health agency
Care Solutions, IncCrystal lake, ILHome health agency
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Zeta Visiting Physician Llc74164899434

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. Carlo Domingo allows following entities to bill medicare on his behalf.
Entity NameZeta Visiting Physician Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043042484
PECOS PAC ID: 7416489943
Enrollment ID: O20241022001806

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. Carlo Domingo 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
Carlo Domingo, AGNP-C
4 N Deer Point Dr., Ste 1002,
Hainesville, IL 60030-3814

Ph: (847) 946-0198		Carlo Domingo, AGNP-C
4 N Deer Point Dr, Ste 1002,
Hainesville, IL 60030-3814

Ph: (847) 946-0198

Reviews and Comments


Nurse Practitioner Nurses in Hainesville, IL

Peggy Suzanne Welch,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 N Deer Point Rd Ste 1008, Hainesville, IL 60030
Phone: 847-543-0045    

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.