Heather Brooke Domel, is a medicare enrolled "Nurse Practitioner - Family" in Shiner, Texas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gonzales Healthcare Systems and her current practice location is
207 W 7th St, Shiner, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 239-5015.
Heather Brooke Domel is licensed to practice in Texas (license number 1052400) 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 1295405371.
Provider's Profile
| Full Name | Heather Brooke Domel |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 207 W 7th St, Shiner, Texas |
|---|
| 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:
- Heather Brooke Domel graduated from nursing school in 2021
NPI Data:
- NPI Number: 1295405371
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284032053
- Enrollment ID: I20211213001937
Medical Identifiers
Medical identifiers for Heather Brooke Domel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295405371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1052400 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1052400 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gonzales Healthcare Systems | 8527963776 | 32 |
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. Heather Brooke Domel allows following entities to bill medicare on her behalf.
| Entity Name | Gonzales Healthcare Systems |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013916287
PECOS PAC ID: 8527963776
Enrollment ID: O20040316001074 |
|---|
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. Heather Brooke Domel 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 |
|---|
Heather Brooke Domel,
Po Box 587,
Gonzales, TX 78629-0587
Ph: (361) 239-5015 | Heather Brooke Domel,
207 W 7th St,
Shiner, TX 77984-5873
Ph: (361) 239-5015 |
Reviews and Comments