Nicolette E Dome, AUD in San Marcos, CA - Medicare Audiologist Provider

Nicolette E Dome, AUD is a medicare enrolled "Audiologist" provider in San Marcos, California. Her current practice location is 400 Craven Rd, San Marcos, California. You can reach out to her office (for appointments etc.) via phone at (858) 616-5115.

Nicolette E Dome is licensed to practice in California (license number AU3740) 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 1033856323.

Contact Information

	Nicolette E Dome, AUD
	400 Craven Rd, San Marcos, CA 92078-4201
	(858) 616-5115
	(858) 616-5118

Map and Direction

Healthcare Provider's Profile

Full Name	Nicolette E Dome
Gender	Female
Speciality	Audiologist
Location	400 Craven Rd, San Marcos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033856323
Provider Enumeration Date: 05/17/2022
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7618333105
Enrollment ID: I20230525003309

Medical Identifiers

Medical identifiers for Nicolette E Dome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033856323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU3740 (California)	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. Nicolette E Dome allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Nicolette E Dome 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
Nicolette E Dome, AUD 400 Craven Rd, San Marcos, CA 92078-4201 Ph: (858) 616-5100	Nicolette E Dome, AUD 400 Craven Rd, San Marcos, CA 92078-4201 Ph: (858) 616-5115

Reviews and Comments

Audiologist in San Marcos, CA

Dwayne Lizar, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1740 La Costa Meadows Dr, Suite 144, San Marcos, CA 92078 Phone: 951-970-1194
Dr. Diana Kiralyfalvi Casillas, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 255 Pico Ave Ste 200, San Marcos, CA 92069 Phone: 760-307-1337 Fax: 760-591-3510
Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1635 Lake San Marcos Dr, Suite 108, San Marcos, CA 92078 Phone: 760-744-1551 Fax: 760-591-9665
Gregory William Hall, MA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 910 W San Marcos Blvd, Suite 102, San Marcos, CA 92078 Phone: 760-471-1196 Fax: 760-471-1550

Nicolette E Dome, AUD - Medicare Audiologist in San Marcos, CA