Mr Christopher James Dominique, RPA-C is a medicare enrolled "Physician Assistant - Surgical" in N Massapequa, New York. His current practice location is
15 Marlboro Ave, N Massapequa, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 557-3254.
Mr Christopher James Dominique is licensed to practice in New York (license number 012547-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104083682.
Provider's Profile
| Full Name | Mr Christopher James Dominique |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 15 Marlboro Ave, N Massapequa, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104083682
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476831843
- Enrollment ID: I20161107000571
Medical Identifiers
Medical identifiers for Mr Christopher James Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104083682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | 012547-1 (New York) | 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. Mr Christopher James Dominique 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 |
Mr Christopher James Dominique, RPA-C 15 Marlboro Ave, N Massapequa, NY 11758-2429 Ph: (516) 541-8919 | Mr Christopher James Dominique, RPA-C 15 Marlboro Ave, N Massapequa, NY 11758-2429 Ph: (516) 557-3254 |
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