Ophillia Dominique, FNP - Medicare Nurse Practitioner in Dillon, SC

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Ophillia Dominique, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dillon, South Carolina. Her current practice location is 501 Radford Blvd, Dillon, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 605-0270.

Ophillia Dominique is licensed to practice in South Carolina (license number 26107) 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 1871226738.

Contact Information

Ophillia Dominique, FNP
501 Radford Blvd,
Dillon, SC 29536-5001
(803) 605-0270
(843) 605-0268

Map and Direction




Provider's Profile

Full NameOphillia Dominique
GenderFemale
SpecialityNurse Practitioner - Family
Location501 Radford Blvd, Dillon, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871226738
  • Provider Enumeration Date: 07/07/2022
  • Last Update Date: 07/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537545827
  • Enrollment ID: I20221011001316

Medical Identifiers

Medical identifiers for Ophillia Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871226738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26107 (South Carolina)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. Ophillia Dominique allows following entities to bill medicare on her behalf.
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517
Entity NameCh Specialty Services Sc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275915522
PECOS PAC ID: 6608182993
Enrollment ID: O20150901002450
Entity NameElite Patient Care Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477896
PECOS PAC ID: 1951672617
Enrollment ID: O20170731000866
Entity NameGold Star Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528643608
PECOS PAC ID: 2466869706
Enrollment ID: O20210401001639

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. Ophillia Dominique 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
Ophillia Dominique, FNP
3359 Thornblade Dr,
Florence, SC 29501-8048

Ph: (856) 912-4867		Ophillia Dominique, FNP
501 Radford Blvd,
Dillon, SC 29536-5001

Ph: (803) 605-0270

Reviews and Comments


Nurse Practitioner Nurses in Dillon, SC

Olivia Price Miller,
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Practice Location: 705 Nth 8th Ave, 3b, Dillon, SC 29536
Phone: 843-449-0453    
Victoria Michelle Galuppo, FNP-BC, APRN
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Practice Location: 501 Radford Blvd, Dillon, SC 29536
Phone: 843-605-0270    
Sherrie Nichole Turner, FNP
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Morgan Bass Rigby, NP-C
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Practice Location: 301 E Jackson St, Dillon, SC 29536
Phone: 843-774-4111    
Renee Elizabeth Sutton,
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Practice Location: 301 E Jackson St, Dillon, SC 29536
Phone: 843-774-4111    
Ellen Margaret Mishra, WHNP-C, FNP-C
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Practice Location: 207 E Monroe St, Dillon, SC 29536
Phone: 843-774-4337    Fax: 843-774-4373
Kendra Mcqueen Fling, NP
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Medicare: Medicare Enrolled
Practice Location: 207 E Monroe St, Dillon, SC 29536
Phone: 843-774-4337    Fax: 843-774-4343

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.