Mrs Dominno Caroline Fogle, MMS, PA-C - Medicare Physician Assistant in Deer Park, IL

  1. Home
  2. Physician Assistant
  3. IL
  4. Deer Park
Mrs Dominno Caroline Fogle, MMS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Deer Park, Illinois. Her current practice location is 21660 W Field Pkwy, Deer Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 803-3370.

Mrs Dominno Caroline Fogle is licensed to practice in Illinois (license number 085004161) 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 1255615365.

Contact Information

Mrs Dominno Caroline Fogle, MMS, PA-C
21660 W Field Pkwy,
Deer Park, IL 60010-7265
(888) 803-3370
Not Available

Map and Direction




Provider's Profile

Full NameMrs Dominno Caroline Fogle
GenderFemale
SpecialityPhysician Assistant - Medical
Location21660 W Field Pkwy, Deer Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255615365
  • Provider Enumeration Date: 10/07/2011
  • Last Update Date: 06/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507026804
  • Enrollment ID: I20120323000308

Medical Identifiers

Medical identifiers for Mrs Dominno Caroline Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255615365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085004161 (Illinois)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. Mrs Dominno Caroline Fogle 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 AddressPractice Location Address
Mrs Dominno Caroline Fogle, MMS, PA-C
271 County Road 2325 E,
Carlock, IL 61725-9020

Ph: (815) 931-0244		Mrs Dominno Caroline Fogle, MMS, PA-C
21660 W Field Pkwy,
Deer Park, IL 60010-7265

Ph: (888) 803-3370

Reviews and Comments


Physician Assistant Nurses in Deer Park, IL

Nikki Borah Tang, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 21660 W Field Pkwy, Deer Park, IL 60010
Phone: 888-803-3370    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.