Domenic Bermudez, PA-C - Medicare Physician Assistant in Englewood, OH

  1. Home
  2. Physician Assistant
  3. OH
  4. Englewood
Domenic Bermudez, PA-C is a medicare enrolled "Physician Assistant - Medical" in Englewood, Ohio. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Urgent Care Specialists, Llc and his current practice location is 7709 Hoke Rd, Englewood, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 809-2940.

Domenic Bermudez is licensed to practice in Ohio (license number 50.005193RX) 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 1215454194.

Contact Information

Domenic Bermudez, PA-C
7709 Hoke Rd,
Englewood, OH 45315-9725
(937) 809-2940
(937) 809-2941

Map and Direction




Provider's Profile

Full NameDomenic Bermudez
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location7709 Hoke Rd, Englewood, Ohio
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:
  • Domenic Bermudez graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1215454194
  • Provider Enumeration Date: 08/23/2017
  • Last Update Date: 10/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688949092
  • Enrollment ID: I20171011002703

Medical Identifiers

Medical identifiers for Domenic Bermudez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215454194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant APP-000112838 (Ohio)Secondary
363AS0400XPhysician Assistant - Surgical 50.005193RX (Ohio)Secondary
363AM0700XPhysician Assistant - Medical 50.005193RX (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgent Care Specialists, Llc185031101081

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. Domenic Bermudez allows following entities to bill medicare on his behalf.
Entity NameUrgent Care Specialists, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114957123
PECOS PAC ID: 1850311010
Enrollment ID: O20051202000090
Entity NameOhio Med LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679293104
PECOS PAC ID: 9931571874
Enrollment ID: O20230202001293

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. Domenic Bermudez 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
Domenic Bermudez, PA-C
7709 Hoke Rd,
Englewood, OH 45315-9725

Ph: (937) 809-2940		Domenic Bermudez, PA-C
7709 Hoke Rd,
Englewood, OH 45315-9725

Ph: (937) 809-2940

Reviews and Comments


Physician Assistant Nurses in Englewood, OH

Timothy Weeks, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1130 S Main St, Englewood, OH 45322
Phone: 937-208-6879    
Brittany Mathias, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 232, Englewood, OH 45415
Phone: 937-277-8988    Fax: 937-274-4293
Sarah Grace Maccarelli,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9000 N Main St Ste 321&328, Englewood, OH 45415
Phone: 937-836-0500    Fax: 937-836-0636
Sabryna Madison Creech, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9000 N Main St Ste 233, Englewood, OH 45415
Phone: 937-832-9310    
Mrs. Alessandra Isabella Bonanno, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9000 N Main St Ste 233, Englewood, OH 45415
Phone: 937-832-9310    
Jessica G Luckenbill, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9000 N Main St, Suite 200, Englewood, OH 45415
Phone: 937-836-5555    Fax: 937-836-7518
Michael Deyhle,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9000 N Main St, Suite G-35, Englewood, OH 45415
Phone: 937-836-1028    

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.