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.
Provider's Profile
| Full Name | Carlo Domingo |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 11 Years |
|---|
| Location | 4 N Deer Point Dr, Hainesville, Illinois |
|---|
| Accepts Medicare Assignments | Yes. 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.
| Identifier | Type | State | Issuer |
|---|
| 1194251272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209.019378 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209.019378 (Illinois) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| American Home Care Express Inc | Lincolnwood, IL | Home health agency |
| Meridian Home Health Care Services, Inc | Hainesville, IL | Home health agency |
| Reliance Home Health Care, Inc | Rolling mdws, IL | Home health agency |
| All About Healthcare, Inc | Lincolnwood, IL | Home health agency |
| Care Solutions, Inc | Crystal lake, IL | Home health agency |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Vista Medical Center East | Waukegan, IL | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Zeta Visiting Physician Llc | 7416489943 | 3 |
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 Name | Zeta Visiting Physician Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI 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 Address | Practice 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