Dominecia Jamille Maxwell, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Sunnyvale, Texas. Her current practice location is
490 Us Highway 80 E Ste 200, Sunnyvale, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 329-1996.
Dominecia Jamille Maxwell is licensed to practice in Texas (license number 1057353) 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 1811650245.
Physician's Profile
Full Name | Dominecia Jamille Maxwell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 490 Us Highway 80 E Ste 200, Sunnyvale, Texas |
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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: 1811650245
- Provider Enumeration Date: 10/21/2021
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658748264
- Enrollment ID: I20221110000300
Medical Identifiers
Medical identifiers for Dominecia Jamille Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811650245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1057353 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1057353 (Texas) | 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. Dominecia Jamille Maxwell allows following entities to bill medicare on her behalf.
Entity Name | Texas Health Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
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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. Dominecia Jamille Maxwell 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 |
Dominecia Jamille Maxwell, FNP 5260 N. O'connor Blvd, Suite 170, Las Colinas, TX 75039-5752 Ph: (469) 345-7540 | Dominecia Jamille Maxwell, FNP 490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182-9220 Ph: (972) 329-1996 |
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