Dominique Jacqueline Mcintosh, FNP in Peachtree Corners, GA

Dominique Jacqueline Mcintosh, FNP is a medicare enrolled "Nurse Practitioner - Family" in Peachtree Corners, Georgia. Her current practice location is 3720 Holcomb Bridge Rd, Peachtree Corners, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 263-1000.

Dominique Jacqueline Mcintosh is licensed to practice in Georgia (license number RN195908) 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 1689198798.

Contact Information

	Dominique Jacqueline Mcintosh, FNP
	3720 Holcomb Bridge Rd, Peachtree Corners, GA 30092-4795
	(770) 263-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Jacqueline Mcintosh
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3720 Holcomb Bridge Rd, Peachtree Corners, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689198798
Provider Enumeration Date: 07/31/2017
Last Update Date: 07/31/2017

Medicare PECOS Information:

PECOS PAC ID: 5294092268
Enrollment ID: I20171129001609

Medical Identifiers

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

Identifier	Type	State	Issuer
1689198798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN195908 (Georgia)	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 Jacqueline Mcintosh allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

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 Jacqueline Mcintosh 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 Jacqueline Mcintosh, FNP 6829 Danforth Way, Stone Mountain, GA 30087-6370 Ph: () -	Dominique Jacqueline Mcintosh, FNP 3720 Holcomb Bridge Rd, Peachtree Corners, GA 30092-4795 Ph: (770) 263-1000

Reviews and Comments

Nurse Practitioner Nurses in Peachtree Corners, GA

Mrs. Ashley Gaines, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5550 Peachtree Pkwy Ste 150, Peachtree Corners, GA 30092 Phone: 770-558-6202
Lady Carolina Collins, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3780 Holcomb Bridge Rd, Peachtree Corners, GA 30092 Phone: 770-263-9102
Jocelyne Hayes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3260 Pointe Pkwy Ste 1000, Peachtree Corners, GA 30092 Phone: 770-685-1424
Lovelin Fonkika, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5550 Peachtree Pkwy Ste 150, Peachtree Corners, GA 30092 Phone: 770-558-6202
Raphael B Fowler, AGPCNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3387 Peachtree Corners Cir Apt I, Peachtree Corners, GA 30092 Phone: 678-542-9756
Zondera Simpson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4028 Holcomb Bridge Rd Ste 200, Peachtree Corners, GA 30092 Phone: 678-580-1736
Alexa D Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3780 Holcomb Bridge Rd, Ste C, Peachtree Corners, GA 30092 Phone: 770-263-9101 Fax: 770-263-9102

Dominique Jacqueline Mcintosh, FNP - Medicare Nurse Practitioner in Peachtree Corners, GA