Stevenson Dominique, PA - Medicare Physician Assistant in Phoenix, AZ

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Stevenson Dominique, PA is a medicare enrolled "Physician Assistant - Medical" in Phoenix, Arizona. His current practice location is 8046 N 19th Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (786) 356-1865.

Stevenson Dominique is licensed to practice in Puerto Rico (license number 000512-P.A.) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912536301.

Contact Information

Stevenson Dominique, PA
8046 N 19th Dr,
Phoenix, AZ 85021-5154
(786) 356-1865
Not Available

Map and Direction




Provider's Profile

Full NameStevenson Dominique
GenderMale
SpecialityPhysician Assistant - Medical
Location8046 N 19th Dr, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912536301
  • Provider Enumeration Date: 04/07/2020
  • Last Update Date: 08/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365897840
  • Enrollment ID: I20231018004003

Medical Identifiers

Medical identifiers for Stevenson Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912536301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 000512-P.A. (Puerto Rico)Secondary
363AM0700XPhysician Assistant - Medical 000512-P.A. (Puerto Rico)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. Stevenson Dominique allows following entities to bill medicare on his behalf.
Entity NameJarvis Tzeng, DO, P.A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104104488
PECOS PAC ID: 8325210917
Enrollment ID: O20111003000683
Entity NameInstacare PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932912474
PECOS PAC ID: 9335669126
Enrollment ID: O20250224002660
Entity NameSynergy Global Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477449221
PECOS PAC ID: 5294242699
Enrollment ID: O20250730001220
Entity NameMidwest Wellness and Wound Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033904040
PECOS PAC ID: 0244755635
Enrollment ID: O20250902000517
Entity NameSynergyhealth360 PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770472276
PECOS PAC ID: 5698277978
Enrollment ID: O20250905002838

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. Stevenson 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
Stevenson Dominique, PA
8046 N 19th Dr,
Phoenix, AZ 85021-5154

Ph: (786) 356-1865		Stevenson Dominique, PA
8046 N 19th Dr,
Phoenix, AZ 85021-5154

Ph: (786) 356-1865

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.