| Ms Dominique B James, | |
|
546 N Union St, Loudonville, OH 44842-1040 | |
| (419) 207-2429 | |
| Not Available |
| Full Name | Ms Dominique B James |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 546 N Union St, Loudonville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538799325 | NPI | - | NPPES |
| APRN.CNP.023773 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.023773 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Wooster Clinic Llc | 6800708124 | 367 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Samaritan Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396251989 PECOS PAC ID: 0648284067 Enrollment ID: O20060206000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dominique B James, 10 Wilers Grv, Rittman, OH 44270-1823 Ph: (419) 207-2429 | Ms Dominique B James, 546 N Union St, Loudonville, OH 44842-1040 Ph: (419) 207-2429 |
Amber L Caplan, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 E Loudon Ave, Loudonville, OH 44842 Phone: 419-994-5581 Fax: 419-994-4354 | |
Daniele C. Perrelli Marsh, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Loudonville, OH 44842 Phone: 419-994-0212 Fax: 419-994-0215 | |
Terry Lee Hellinger, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 E Loudon Ave, Loudonville, OH 44842 Phone: 419-994-5581 Fax: 419-994-4354 |