Nicole Dominick, MA LLP in Saint Clair Shores, MI - Medicare Psychologist Provider

Nicole Dominick, MA LLP is a medicare enrolled "Psychologist" provider in Saint Clair Shores, Michigan. Her current practice location is 29750 Harper Ave, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 777-3200.

Nicole Dominick is licensed to practice in Michigan (license number 6301011786) 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 1285873224.

Contact Information

	Nicole Dominick, MA LLP
	29750 Harper Ave, Saint Clair Shores, MI 48082-2607
	(586) 777-3200
	(586) 777-7855

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Dominick
Gender	Female
Speciality	Psychologist
Location	29750 Harper Ave, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285873224
Provider Enumeration Date: 02/16/2009
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 5799201828
Enrollment ID: I20250501000383

Medical Identifiers

Medical identifiers for Nicole Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285873224	NPI	-	NPPES
750910681	Other	MI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301011786 (Michigan)	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. Nicole Dominick allows following entities to bill medicare on her behalf.

Entity Name	Michigan Psychological Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801102744 PECOS PAC ID: 3274968672 Enrollment ID: O20200113001497

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. Nicole Dominick 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
Nicole Dominick, MA LLP 42669 Garfield Rd, Clinton Twp, MI 48038-5036 Ph: (586) 412-5321	Nicole Dominick, MA LLP 29750 Harper Ave, Saint Clair Shores, MI 48082-2607 Ph: (586) 777-3200

Reviews and Comments

Psychologist in Saint Clair Shores, MI

Mrs. Aleksandra Stoklosa, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27941 Harper Ave, Saint Clair Shores, MI 48081 Phone: 248-755-3814
Gregory F Hojnacki, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25401 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-466-6912 Fax: 586-466-6961
Natalya Starr Zerka, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29750 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-777-3200 Fax: 586-777-7855
Katie Lynn Bowers, MA, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 29750 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-777-3200 Fax: 586-777-7855
Mr. Zachery O Hurd, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29750 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-777-3200 Fax: 586-777-7855
Caitlyn Thelen Bischoff, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080 Phone: 844-232-8590
Erica Sagese, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22811 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-335-2006

Nicole Dominick, MA LLP - Medicare Psychologist in Saint Clair Shores, MI