Dominic J Mintalucci, MD - Medicare Orthopedic Surgery in Santa Rosa, CA

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Dominic J Mintalucci, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Santa Rosa, California. He went to George Washington University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Santa Rosa Orthopaedic Medical Group, Inc. and his current practice location is 1405 Montgomery Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 546-1922.

Dominic J Mintalucci is licensed to practice in California (license number A126421) 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 1114126869.

Contact Information

Dominic J Mintalucci, MD
1405 Montgomery Dr,
Santa Rosa, CA 95405-4557
(707) 546-1922
(707) 546-1897

Map and Direction




Physician's Profile

Full NameDominic J Mintalucci
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location1405 Montgomery Dr, Santa Rosa, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dominic J Mintalucci attended and graduated from George Washington University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1114126869
  • Provider Enumeration Date: 07/13/2007
  • Last Update Date: 10/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1254574486
  • Enrollment ID: I20130906000648

Medical Identifiers

Medical identifiers for Dominic J Mintalucci such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114126869NPI-NPPES
A126421OtherCALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A126421 (California)Secondary
207XS0106XOrthopaedic Surgery - Hand Surgery A126421 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Santa Rosa Regional HospitalSanta rosa, CAHospital
Adventist Health Ukiah ValleyUkiah, CAHospital
Santa Rosa Memorial HospitalSanta rosa, CAHospital
California Pacific Medical Ctr-davies Campus HospSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santa Rosa Orthopaedic Medical Group, Inc.498165505712

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. Dominic J Mintalucci allows following entities to bill medicare on his behalf.
Entity NameSanta Rosa Orthopaedic Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518907336
PECOS PAC ID: 4981655057
Enrollment ID: O20050207000100

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. Dominic J Mintalucci 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 AddressPractice Location Address
Dominic J Mintalucci, MD
1405 Montgomery Dr,
Santa Rosa, CA 95405-4557

Ph: (707) 546-1922		Dominic J Mintalucci, MD
1405 Montgomery Dr,
Santa Rosa, CA 95405-4557

Ph: (707) 546-1922

Reviews and Comments


Orthopaedic Surgery Doctors in Santa Rosa, CA

Raymond Severt, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1144 Sonoma Ave, Suite 121, Santa Rosa, CA 95405
Phone: 707-978-4322    Fax: 707-538-2519
Dr. Peter Bernard Albert Pappas, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404
Phone: 707-523-2381    Fax: 707-523-2677
Christian Nabil Athanassious, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-546-1922    Fax: 707-546-1897
Dr. Thomas C Degenhardt, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-546-1922    Fax: 707-546-1987
Dr. Roger A Klein, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405
Phone: 707-576-0366    Fax: 707-576-0468
Dr. Mark E. Schakel Ii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405
Phone: 707-546-1922    Fax: 707-546-1897

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.