Dominique Shy, NP in South Euclid, OH - Medicare Nurse Practitioner

Dominique Shy, NP is a medicare enrolled "Nurse Practitioner - Family" in South Euclid, Ohio. Her current practice location is 1326 Winston Rd, South Euclid, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 324-9879.

Dominique Shy is licensed to practice in Ohio (license number APRN.CNP.0030516) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144766676.

Contact Information

	Dominique Shy, NP
	1326 Winston Rd, South Euclid, OH 44121-2516
	(216) 324-9879
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Shy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1326 Winston Rd, South Euclid, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144766676
Provider Enumeration Date: 01/08/2017
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0244627131
Enrollment ID: I20220422002122

Medical Identifiers

Medical identifiers for Dominique Shy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144766676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN432341 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0030516 (Ohio)	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. Dominique Shy allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180220001792

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044

Entity Name	Hometown Urgent Care Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382

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. Dominique Shy 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
Dominique Shy, NP 1326 Winston Rd, South Euclid, OH 44121-2516 Ph: (216) 324-9879	Dominique Shy, NP 1326 Winston Rd, South Euclid, OH 44121-2516 Ph: (216) 324-9879

Reviews and Comments

Nurse Practitioner Nurses in South Euclid, OH

Ms. Tomisha Yvon Bethune, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Winston Rd, South Euclid, OH 44121 Phone: 216-374-8672
Nicole Milliron, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2120 S Green Rd, South Euclid, OH 44121 Phone: 216-255-5201
Nicholas Jezerinac, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210
Mrs. Sandra L. K. Chapman, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 S Green Rd Ste 65, South Euclid, OH 44121 Phone: 216-553-5055 Fax: 216-553-5057
Kristina Banks, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210 Fax: 216-291-9422
Mrs. Courtney Lynn Mcavinew, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 S Green Rd Ste 237, South Euclid, OH 44121 Phone: 216-291-0311 Fax: 216-291-1334
Sarah Ball, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2054 S Green Rd, South Euclid, OH 44121 Phone: 216-291-9210

Dominique Shy, NP - Medicare Nurse Practitioner in South Euclid, OH