Obdelis Dominguez, - Medicare Nurse Practitioner in Miami, FL

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Obdelis Dominguez, is a medicare enrolled "Nurse Practitioner - Family" in Miami, Florida. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Smd Medservices Llc, Sandc Medical Services Corp and her current practice location is 2860 Sw 133rd Ct, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 447-2902.

Obdelis Dominguez is licensed to practice in Florida (license number APRN11021188) 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 1912634163.

Contact Information

Obdelis Dominguez,
2860 Sw 133rd Ct,
Miami, FL 33175-7133
(786) 447-2902
Not Available

Map and Direction




Provider's Profile

Full NameObdelis Dominguez
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2860 Sw 133rd Ct, Miami, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Obdelis Dominguez graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1912634163
  • Provider Enumeration Date: 08/05/2022
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103282652
  • Enrollment ID: I20230525001781

Medical Identifiers

Medical identifiers for Obdelis Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912634163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11021188 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hca Florida Westside HospitalPlantation, FLHospital
Hendry Regional Medical CenterClewiston, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smd Medservices Llc43850709296
Sandc Medical Services Corp15577959034

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. Obdelis Dominguez allows following entities to bill medicare on her behalf.
Entity NameS&c Medical Services Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700434560
PECOS PAC ID: 1557795903
Enrollment ID: O20191218001762
Entity NameSmd Medservices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548817562
PECOS PAC ID: 4385070929
Enrollment ID: O20200130001402
Entity NameDalbertus Wellness and Health Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417541269
PECOS PAC ID: 7315342235
Enrollment ID: O20210816002323
Entity NameTrucare Medical Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467108142
PECOS PAC ID: 0749658482
Enrollment ID: O20221130000908
Entity NameOak Grove Physician Services PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689446700
PECOS PAC ID: 8628421526
Enrollment ID: O20240126002791
Entity NameOD Vitality LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285459842
PECOS PAC ID: 6103342324
Enrollment ID: O20250430001030

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. Obdelis Dominguez 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
Obdelis Dominguez,
2860 Sw 133rd Ct,
Miami, FL 33175-7133

Ph: (786) 447-2902		Obdelis Dominguez,
2860 Sw 133rd Ct,
Miami, FL 33175-7133

Ph: (786) 447-2902

Reviews and Comments


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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.