Mrs Dominique Cerise Erly, PA-C in Fayetteville, AR

Mrs Dominique Cerise Erly, PA-C is a medicare enrolled "Physician Assistant" in Fayetteville, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Washington Regional Medical System and her current practice location is 3276 N Northhills Blvd, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 404-2110.

Mrs Dominique Cerise Erly is licensed to practice in Wisconsin (license number 4835-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497397921.

Contact Information

	Mrs Dominique Cerise Erly, PA-C
	3276 N Northhills Blvd, Fayetteville, AR 72703-4005
	(479) 404-2110
	(479) 404-2111

Map and Direction

Provider's Profile

Full Name	Mrs Dominique Cerise Erly
Gender	Female
Speciality	Physician Assistant
Experience	5 Years
Location	3276 N Northhills Blvd, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Dominique Cerise Erly graduated from nursing school in 2019

NPI Data:

NPI Number: 1497397921
Provider Enumeration Date: 10/16/2019
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 0244662088
Enrollment ID: I20220215000343

Medical Identifiers

Medical identifiers for Mrs Dominique Cerise Erly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497397921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4835-23 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Regional Medical System	8820995434	219

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. Mrs Dominique Cerise Erly 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
Mrs Dominique Cerise Erly, PA-C 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 Ph: (479) 404-2110	Mrs Dominique Cerise Erly, PA-C 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 Ph: (479) 404-2110

Reviews and Comments

Physician Assistant Nurses in Fayetteville, AR

Kristin Salmon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Charles Earl Wall Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000
Mr. Joseph D Cogan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Dept 116a, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5951
Madalynn Potter, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000
Ms. Anna Marie White, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 North College Avenue, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5889

Mrs Dominique Cerise Erly, PA-C - Medicare Physician Assistant in Fayetteville, AR