Dawn Jannice Domenech, A-GNP-C - Medicare Nurse Practitioner in Yuma, AZ

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Dawn Jannice Domenech, A-GNP-C is a medicare enrolled "Nurse Practitioner - Family" in Yuma, Arizona. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acacia Family Practice Group Of Lake Havasu, Inc, Acacia Family Practice Group, Inc. and her current practice location is 888 W 16th St, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 550-7000.

Dawn Jannice Domenech is licensed to practice in Arizona (license number AP8363) 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 1093171456.

Contact Information

Dawn Jannice Domenech, A-GNP-C
888 W 16th St,
Yuma, AZ 85364-4542
(928) 550-7000
(928) 550-7006

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Provider's Profile

Full NameDawn Jannice Domenech
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location888 W 16th St, Yuma, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dawn Jannice Domenech graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1093171456
  • Provider Enumeration Date: 01/14/2016
  • Last Update Date: 08/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163728916
  • Enrollment ID: I20160304001221

Medical Identifiers

Medical identifiers for Dawn Jannice Domenech such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093171456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health TAP8363 (Arizona)Secondary
363LG0600XNurse Practitioner - Gerontology TAP8363 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP8363 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yuma Regional Medical CenterYuma, AZHospital
Havasu Regional Medical CenterLake havasu city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acacia Family Practice Group Of Lake Havasu, Inc22648187982
Acacia Family Practice Group, Inc.65071921432

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. Dawn Jannice Domenech allows following entities to bill medicare on her behalf.
Entity NameCommunity Intervention Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518250620
PECOS PAC ID: 4880851971
Enrollment ID: O20120201000213
Entity NameAcacia Family Practice Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316508211
PECOS PAC ID: 6507192143
Enrollment ID: O20190719001980
Entity NameAcacia Family Practice Group Of Lake Havasu, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295469641
PECOS PAC ID: 2264818798
Enrollment ID: O20221006000104

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. Dawn Jannice Domenech 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
Dawn Jannice Domenech, A-GNP-C
2851 S Avenue B, Building 4,
Yuma, AZ 85364-7726

Ph: (928) 376-0026		Dawn Jannice Domenech, A-GNP-C
888 W 16th St,
Yuma, AZ 85364-4542

Ph: (928) 550-7000

Reviews and Comments


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Ms. Maria Guadalupe Nunez, CNP
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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.