Dominique Chao, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Aurora, Colorado. Her current practice location is
12605 E 16th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 848-0000.
Dominique Chao is licensed to practice in Colorado (license number PSY.0005792) 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 1972972123.
Healthcare Provider's Profile
Full Name | Dominique Chao |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 12605 E 16th Ave, Aurora, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972972123
- Provider Enumeration Date: 09/17/2015
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193101939
- Enrollment ID: I20221003001900
Medical Identifiers
Medical identifiers for Dominique Chao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972972123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY.0005792 (Colorado) | 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. Dominique Chao allows following entities to bill medicare on her behalf.
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
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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. Dominique Chao 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 |
Dominique Chao, PSYD Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Dominique Chao, PSYD 12605 E 16th Ave, Aurora, CO 80045-2545 Ph: (720) 848-0000 |
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