Mrs Jessica Marie Domire, APRN - Medicare Nurse Practitioner in Malta, MT

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Mrs Jessica Marie Domire, APRN is a medicare enrolled "Nurse Practitioner" in Malta, Montana. Her current practice location is 140 S Central Ave, Malta, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 654-1953.

Mrs Jessica Marie Domire is licensed to practice in Montana (license number NUR-APRN-LIC-146098) 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 1790293116.

Contact Information

Mrs Jessica Marie Domire, APRN
140 S Central Ave,
Malta, MT 59538
(406) 654-1953
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Marie Domire
GenderFemale
SpecialityNurse Practitioner
Location140 S Central Ave, Malta, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790293116
  • Provider Enumeration Date: 01/19/2018
  • Last Update Date: 03/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678802865
  • Enrollment ID: I20190913000614

Medical Identifiers

Medical identifiers for Mrs Jessica Marie Domire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790293116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NUR-APRN-LIC-146098 (Montana)Secondary
363L00000XNurse Practitioner NUR-APRN-LIC-146098 (Montana)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. Mrs Jessica Marie Domire allows following entities to bill medicare on her behalf.
Entity NameCulbertson Froid Bainville Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598874232
PECOS PAC ID: 3173425436
Enrollment ID: O20040126000761
Entity NameCulbertson Froid Bainville Healthcare Corporation
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1598874232
PECOS PAC ID: 3173425436
Enrollment ID: O20061104000663

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 Jessica Marie Domire 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 Jessica Marie Domire, APRN
Po Box 581,
Malta, MT 59538-0581

Ph: (406) 301-2357		Mrs Jessica Marie Domire, APRN
140 S Central Ave,
Malta, MT 59538

Ph: (406) 654-1953

Reviews and Comments


Nurse Practitioner Nurses in Malta, MT

Jesse Brockie, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 311 S 8th Ave E, Malta, MT 59538
Phone: 406-654-1800    Fax: 406-654-1700
Theresa Ohl, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 311 S 8th Ave E, 311 S. 8th Ave E, Malta, MT 59538
Phone: 406-654-1800    Fax: 406-654-2876

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.