Mr Leroy Anthony Domino, CRNA in Webster, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Leroy Anthony Domino, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Webster, Texas. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Utmb Faculty Group Practice and his current practice location is 200 Blossom St, Webster, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 632-6372.

Mr Leroy Anthony Domino is licensed to practice in Texas (license number AP114089) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194824136.

Contact Information

	Mr Leroy Anthony Domino, CRNA
	200 Blossom St, Webster, TX 77598-4204
	(832) 632-6372
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Leroy Anthony Domino
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	200 Blossom St, Webster, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Leroy Anthony Domino graduated from nursing school in 2004

NPI Data:

NPI Number: 1194824136
Provider Enumeration Date: 09/22/2006
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7012949134
Enrollment ID: I20050908001122

Medical Identifiers

Medical identifiers for Mr Leroy Anthony Domino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194824136	NPI	-	NPPES
177072901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	663623 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP114089 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Texas Medical Branch Galveston	Galveston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utmb Faculty Group Practice	3375456734	948

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. Mr Leroy Anthony Domino allows following entities to bill medicare on his behalf.

Entity Name	Utmb Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438

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 Leroy Anthony Domino 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 Leroy Anthony Domino, CRNA Po Box 650859, Dept 710, Dallas, TX 75265-7773 Ph: (409) 747-6240	Mr Leroy Anthony Domino, CRNA 200 Blossom St, Webster, TX 77598-4204 Ph: (832) 632-6372

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Webster, TX

David Conner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708
Mr. Richmond Sully Thibodeaux, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Medical Center Blvd Ste 520, Webster, TX 77598 Phone: 281-218-9515
Ms. Dalisay Roces Meinecke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-338-3230
Roberta Jane Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708
Christie Delaune, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511
Diane Lynn Wegelt-wundrow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 N Texas Ave, Webster, TX 77598 Phone: 281-335-1700 Fax: 281-335-1708

Mr Leroy Anthony Domino, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Webster, TX