Kathy L Domiano, FNP | |
504 Nw 10th Ave, Ava, MO 65608 | |
(417) 683-4831 | |
(417) 683-1602 |
Full Name | Kathy L Domiano |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 504 Nw 10th Ave, Ava, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265627970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 154500 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Douglas County Public Health Services Group, Inc. | 3072423052 | 16 |
Entity Name | Douglas County Public Health Services Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912904004 PECOS PAC ID: 3072423052 Enrollment ID: O20050301000128 |
Mailing Address | Practice Location Address |
---|---|
Kathy L Domiano, FNP 504 Nw 10th Ave, Po Box 1359, Ava, MO 65608 Ph: (417) 683-4831 | Kathy L Domiano, FNP 504 Nw 10th Ave, Ava, MO 65608 Ph: (417) 683-4831 |
Allison M Felton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1312 N Highway 5, Ava, MO 65608 Phone: 417-683-4045 Fax: 417-683-6069 | |
Ms. Peggy S Cargin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Sw 2nd Ave, Ava, MO 65608 Phone: 417-683-6790 Fax: 417-683-6770 | |
Jerriann Coxson, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 504 Nw 10th Ave, Ava, MO 65608 Phone: 417-683-4831 Fax: 417-683-1602 | |
Vanessa Kay Loftis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1613 S Jefferson St Unit A, Ava, MO 65608 Phone: 417-543-4631 | |
Rebecca L Johnson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W Lincoln Ave, Ava, MO 65608 Phone: 417-683-6790 Fax: 417-683-6770 | |
Shari Ranee Cook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 Nw 10th Ave., Ava, MO 65608 Phone: 417-683-5739 |