Kimberly Marie Domalewicz, FNP-BC in Troy, NY

Kimberly Marie Domalewicz, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Troy, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samaritan Hospital Of Troy, New York and her current practice location is 2231 Burdett Ave Ste 110, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 271-3900.

Kimberly Marie Domalewicz is licensed to practice in New York (license number 341343) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114449030.

Contact Information

	Kimberly Marie Domalewicz, FNP-BC
	2231 Burdett Ave Ste 110, Troy, NY 12180-2447
	(518) 271-3900
	(518) 271-3914

Map and Direction

Provider's Profile

Full Name	Kimberly Marie Domalewicz
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2231 Burdett Ave Ste 110, Troy, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Marie Domalewicz graduated from nursing school in 2016

NPI Data:

NPI Number: 1114449030
Provider Enumeration Date: 07/12/2017
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 0042622185
Enrollment ID: I20201215001834

Medical Identifiers

Medical identifiers for Kimberly Marie Domalewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114449030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	341343 (New York)	Primary
207V00000X	Obstetrics & Gynecology	341343 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Troy, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Hospital Of Troy, New York	6507770070	180

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. Kimberly Marie Domalewicz allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Hospital Of Troy, New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782

Entity Name	W Bruce Clark Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396959110 PECOS PAC ID: 6608839162 Enrollment ID: O20041108000166

Entity Name	St. Peter's Health Partners Medical Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567

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. Kimberly Marie Domalewicz 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
Kimberly Marie Domalewicz, FNP-BC Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634	Kimberly Marie Domalewicz, FNP-BC 2231 Burdett Ave Ste 110, Troy, NY 12180-2447 Ph: (518) 271-3900

Reviews and Comments

Nurse Practitioner Nurses in Troy, NY

Kelly Lynne Hearne, MS, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2215 Burdett Ave, Troy, NY 12180 Phone: 518-271-3554
Shauna Marie Paris, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 258 Hoosick St Ste 100, Troy, NY 12180 Phone: 518-272-0232 Fax: 518-272-4083
Amy J Nistico, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2215 Burdett Ave, Troy, NY 12180 Phone: 188-336-4705 Fax: 518-271-3682
Carl Mark Cacciotti, AGNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 81 Sweetmilk Creek Rd, Troy, NY 12180 Phone: 518-330-3396
Mrs. Leshaun Angmor, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 2nd Ave, Suite 2, Troy, NY 12182 Phone: 518-235-8034
Ericka Mae Matzen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Massachusetts Ave, Troy, NY 12180 Phone: 518-268-6265
Rita A Alowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 New Hampshire Ave, Troy, NY 12180 Phone: 518-272-0331 Fax: 518-270-6280

Kimberly Marie Domalewicz, FNP-BC - Medicare Nurse Practitioner in Troy, NY