Tabatha Dominguez, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Hondo, Texas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vmd Primary Providers South Hill Country Texas, Pllc and her current practice location is
3200 Avenue E, Hondo, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 426-7444.
Tabatha Dominguez is licensed to practice in Texas (license number AP139722) 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 1407325731.
Provider's Profile
| Full Name | Tabatha Dominguez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 3200 Avenue E, Hondo, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tabatha Dominguez graduated from nursing school in 2018
NPI Data:
- NPI Number: 1407325731
- Provider Enumeration Date: 11/15/2018
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335681378
- Enrollment ID: I20240606000469
Medical Identifiers
Medical identifiers for Tabatha Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407325731 | NPI | - | NPPES |
| AP139722 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP139722 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vmd Primary Providers South Hill Country Texas, Pllc | 4284048646 | 30 |
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. Tabatha Dominguez allows following entities to bill medicare on her behalf.
| Entity Name | Vmd Primary Providers South Hill Country Texas, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902400880
PECOS PAC ID: 4284048646
Enrollment ID: O20210126000756 |
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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. Tabatha 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 Address | Practice Location Address |
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Tabatha Dominguez, NURSE PRACTITIONER
Po Box 752,
Hondo, TX 78861-0752
Ph: (830) 931-5008 | Tabatha Dominguez, NURSE PRACTITIONER
3200 Avenue E,
Hondo, TX 78861-3525
Ph: (830) 426-7444 |
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