Jacqueline D Dominick, CRNP in Glen Burnie, MD

Jacqueline D Dominick, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Glen Burnie, Maryland. Her current practice location is 301 Hospital Dr, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 787-4000.

Jacqueline D Dominick is licensed to practice in Maryland (license number R097460) 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 1366424921.

Contact Information

	Jacqueline D Dominick, CRNP
	301 Hospital Dr, Glen Burnie, MD 21061-5803
	(410) 787-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline D Dominick
Gender	Female
Speciality
Experience	Years
Location	301 Hospital Dr, Glen Burnie, Maryland
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:

Jacqueline D Dominick attended and graduated from in

NPI Data:

NPI Number: 1366424921
Provider Enumeration Date: 11/18/2005
Last Update Date: 12/03/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jacqueline D Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366424921	NPI	-	NPPES
4457	Other	MD	BRAVO/ELDER HEALTH
127573	Other	MD	JOHNS HOPKINS HEALTH CARE
408588400	Medicaid	MD
F591-0020	Other	DC	CARE FIRST BLUE CROSS
64696401	Other	MD	CARE FIRST BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R097460 (Maryland)	Primary

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. Jacqueline D Dominick 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
Jacqueline D Dominick, CRNP 300 Hospital Dr, Suite 215, Glen Burnie, MD 21061-6902 Ph: (410) 787-4000	Jacqueline D Dominick, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434
Opemipo Doyin Ogeyingbo, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 464 Norvelle Ct, Glen Burnie, MD 21061 Phone: 301-592-7286
Cierra N Vaughters, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 Hospital Dr Ste 106, Glen Burnie, MD 21061 Phone: 443-430-2998

Jacqueline D Dominick, CRNP - Medicare in Glen Burnie, MD