Dominique Caporusso, PA-C is a medicare enrolled "Physician Assistant - Medical" in Erlanger, Kentucky. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Complexcare Medical Group Midwest M Pllc and her current practice location is
650 Sprucewood Ln, Erlanger, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 282-6600.
Dominique Caporusso is licensed to practice in Kentucky (license number TC835) 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 1225697329.
Provider's Profile
| Full Name | Dominique Caporusso |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 650 Sprucewood Ln, Erlanger, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominique Caporusso graduated from nursing school in 2019
NPI Data:
- NPI Number: 1225697329
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 01/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103157938
- Enrollment ID: I20191212001389
Medical Identifiers
Medical identifiers for Dominique Caporusso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225697329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | TC835 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Complexcare Medical Group Midwest M Pllc | 1355858630 | 68 |
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 Caporusso 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 Caporusso, PA-C
22 Casagrande St,
Fort Thomas, KY 41075-4023
Ph: (859) 512-7050 | Dominique Caporusso, PA-C
650 Sprucewood Ln,
Erlanger, KY 41018-1062
Ph: (859) 282-6600 |
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