Domenic Derobertis, CAA in Washington, DC - Medicare Anesthesiologist Assistant

Domenic Derobertis, CAA is a medicare enrolled "Anesthesiologist Assistant" in Washington, District Of Columbia. His current practice location is 1150 Varnum St Ne, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 854-7000.

Domenic Derobertis is licensed to practice in Florida (license number AA698) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023545530.

Contact Information

	Domenic Derobertis, CAA
	1150 Varnum St Ne, Washington, DC 20017-2104
	(202) 854-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Domenic Derobertis
Gender	Male
Speciality	Anesthesiologist Assistant
Location	1150 Varnum St Ne, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023545530
Provider Enumeration Date: 05/15/2017
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3678844339
Enrollment ID: I20220308000828

Medical Identifiers

Medical identifiers for Domenic Derobertis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023545530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary
367H00000X	Anesthesiologist Assistant	AA698 (Florida)	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. Domenic Derobertis allows following entities to bill medicare on his behalf.

Entity Name	Northwood Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191

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 Derobertis 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
Domenic Derobertis, CAA 13661 Samhill Ln, Mount Airy, MD 21771-4578 Ph: () -	Domenic Derobertis, CAA 1150 Varnum St Ne, Washington, DC 20017-2104 Ph: (202) 854-7000

Reviews and Comments

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Domenic Derobertis, CAA - Medicare Anesthesiologist Assistant in Washington, DC