Bruce L Domm, MD is a medicare enrolled "Family Medicine" physician in Casselton, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Innovis Health Llc and his current practice location is
5 9th Ave N, Casselton, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 347-4445.
Bruce L Domm is licensed to practice in North Dakota (license number 5341) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730106329.
Physician's Profile
| Full Name | Bruce L Domm |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 39 Years |
|---|
| Location | 5 9th Ave N, Casselton, North Dakota |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Bruce L Domm attended and graduated from University Of North Dakota School Of Medicine in 1985
NPI Data:
- NPI Number: 1730106329
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 10/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698864270
- Enrollment ID: I20071204000854
Medical Identifiers
Medical identifiers for Bruce L Domm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730106329 | NPI | - | NPPES |
| 37983 | Other | ND | SIOUX VALLEY # |
| 0106110 | Other | ND | MEDICA # |
| 0108127 | Other | ND | MEDICA # |
| 112583400 | Medicaid | ND | |
| 142308 | Other | ND | UCARE # |
| ND100038 | Other | MN | LHS # |
| 0106108 | Other | ND | MEDICA # |
| 15375 | Medicaid | ND | |
| 93416DO | Other | ND | MNBS 3 |
| HP19507 | Other | ND | HEALTHPARTNERS # |
| 336 | Other | ND | NDBS # |
| DA9011015505 | Other | ND | PREFERRED ONE # |
| 00A28DO | Other | ND | MNBS # |
| 676560 | Other | ND | AMERICA'S PPO/ARAZ # |
| 93416DO | Other | ND | MNBS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5341 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innovis Health Llc | 9931298155 | 478 |
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. Bruce L Domm allows following entities to bill medicare on his behalf.
| Entity Name | Innovis Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158 |
|---|
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. Bruce L Domm 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 |
|---|
Bruce L Domm, MD
Po Box 6001,
Fargo, ND 58108-6001
Ph: (701) 364-3300 | Bruce L Domm, MD
5 9th Ave N,
Casselton, ND 58012-3339
Ph: (701) 347-4445 |
Reviews and Comments