Dominique Nimallah, is a medicare enrolled "Nurse Practitioner - Family" provider in Las Vegas, Nevada. Her current practice location is
1524 Pinto Ln Fl 2, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 992-6888.
Dominique Nimallah is licensed to practice in Nevada (license number 871748) 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 1528505427.
Healthcare Provider's Profile
| Full Name | Dominique Nimallah |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1524 Pinto Ln Fl 2, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528505427
- Provider Enumeration Date: 01/30/2017
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961843180
- Enrollment ID: I20240517002988
Medical Identifiers
Medical identifiers for Dominique Nimallah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528505427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 871748 (Nevada) | 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 Nimallah allows following entities to bill medicare on her behalf.
| Entity Name | Unlv Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407397235
PECOS PAC ID: 4183991458
Enrollment ID: O20170517002454 |
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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 Nimallah 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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Dominique Nimallah,
3016 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-1973
Ph: (702) 780-2311 | Dominique Nimallah,
1524 Pinto Ln Fl 2,
Las Vegas, NV 89106-4195
Ph: (702) 992-6888 |
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