Mara J Dominguez, NP-C in North Chesterfield, VA

Mara J Dominguez, NP-C is a medicare enrolled "Nurse Practitioner" in North Chesterfield, Virginia. Her current practice location is 2740 Bensley Commons Blvd, North Chesterfield, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 780-0840.

Mara J Dominguez is licensed to practice in Virginia (license number 0024172699) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700268745.

Contact Information

	Mara J Dominguez, NP-C
	2740 Bensley Commons Blvd, North Chesterfield, VA 23237-1723
	(804) 780-0840
	Not Available

Map and Direction

Provider's Profile

Full Name	Mara J Dominguez
Gender	Female
Speciality	Nurse Practitioner
Location	2740 Bensley Commons Blvd, North Chesterfield, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700268745
Provider Enumeration Date: 06/26/2015
Last Update Date: 06/02/2016

Medicare PECOS Information:

PECOS PAC ID: 4688956311
Enrollment ID: I20170112003010

Medical Identifiers

Medical identifiers for Mara J Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700268745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024172699 (Virginia)	Primary

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. Mara J Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Vernon J Harris East End Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295707966 PECOS PAC ID: 9638064850 Enrollment ID: O20040217000877

Entity Name	Fredericksburg Area Hiv/aids Support Services (fahass)
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104170398 PECOS PAC ID: 8628495116 Enrollment ID: O20200828001684

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. Mara J Dominguez 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
Mara J Dominguez, NP-C 2740 Bensley Commons Blvd, North Chesterfield, VA 23237-1723 Ph: (804) 780-0840	Mara J Dominguez, NP-C 2740 Bensley Commons Blvd, North Chesterfield, VA 23237-1723 Ph: (804) 780-0840

Reviews and Comments

Nurse Practitioner Nurses in North Chesterfield, VA

Ms. Stephanie Fowlkes Sill, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1011 Johnston Willis Dr Ste 200, North Chesterfield, VA 23235 Phone: 804-288-2742 Fax: 804-288-9053
Archelle Johnson, AG-PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Buford Rd Ste B111, North Chesterfield, VA 23235 Phone: 804-878-0942 Fax: 888-556-8809
Mackenzie Delane Hahn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8110 Midlothian Tpke, North Chesterfield, VA 23235 Phone: 804-320-8160
Caitlin Renee Halpin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Boulders Pkwy Ste 101, North Chesterfield, VA 23225 Phone: 804-320-4243 Fax: 804-622-0552
Mary Elizabeth Burns, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Johnston Willis Dr, North Chesterfield, VA 23235 Phone: 615-982-5804
Arlyn Pericano Salabao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Johnston Willis Dr, North Chesterfield, VA 23235 Phone: 804-483-6063
Sara Marie Perran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Wadsworth Dr, North Chesterfield, VA 23236 Phone: 804-285-8206

Mara J Dominguez, NP-C - Medicare Nurse Practitioner in North Chesterfield, VA