Dominique Rauls, in Shaw Afb, SC - Medicare Nurse Practitioner

Dominique Rauls, is a medicare enrolled "Nurse Practitioner - Family" in Shaw Afb, South Carolina. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Urgent Care Llc and her current practice location is 420 Polifka Dr, Shaw Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 895-6356.

Dominique Rauls is licensed to practice in Georgia (license number RN268515) 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 1861265050.

Contact Information

	Dominique Rauls,
	420 Polifka Dr, Shaw Afb, SC 29152-5100
	(803) 895-6356
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Rauls
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	420 Polifka Dr, Shaw Afb, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dominique Rauls graduated from nursing school in 2022

NPI Data:

NPI Number: 1861265050
Provider Enumeration Date: 10/31/2023
Last Update Date: 01/30/2026

Medicare PECOS Information:

PECOS PAC ID: 9436507050
Enrollment ID: I20231121000303

Medical Identifiers

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

Identifier	Type	State	Issuer
1861265050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN268515 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rural Urgent Care Llc	8820305600	123

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 Rauls allows following entities to bill medicare on her behalf.

Entity Name	Rural Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001

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 Rauls 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 Rauls, 420 Polifka Dr, Shaw Afb, SC 29152-5100 Ph: (803) 895-6356	Dominique Rauls, 420 Polifka Dr, Shaw Afb, SC 29152-5100 Ph: (803) 895-6356

Reviews and Comments

Nurse Practitioner Nurses in Shaw Afb, SC

Mrs. Mallory Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-2273
Ms. Lauren Carol Allain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152 Phone: 803-895-6356 Fax: 803-895-6456
Jacqueline Mintz, ARNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 Nelson Ave, Shaw Afb, SC 29152 Phone: 706-495-6612
Lorraine Rivero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 843-895-6449
Dr. Leslie Marie Filler, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6425
Diane Susan White, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6356
Kimberly Marie Shanks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152 Phone: 803-895-6592

Dominique Rauls, - Medicare Nurse Practitioner in Shaw Afb, SC