Dominick Peter Trivisonno, MD is a
General Practice physician based in Baker, Montana. Dominick Peter Trivisonno is licensed to practice in New York (license number 173465) and his current practice location is 202 South 4th Street West, Baker, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 778-2833.
NPI number for Dominick Peter Trivisonno is 1235303801 and his current mailing address is Po Box 1119, Baker, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235303801.
Physician's Profile
Full Name | Dominick Peter Trivisonno |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 202 South 4th Street West, Baker, Montana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235303801
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 01/30/2012
Medical Identifiers
Medical identifiers for Dominick Peter Trivisonno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235303801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 173465 (New York) | Primary |
208D00000X | General Practice | 11857 (Montana) | Secondary |
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. Dominick Peter Trivisonno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominick Peter Trivisonno, MD Po Box 1119, Baker, MT 59313-1119 Ph: (406) 778-2833 | Dominick Peter Trivisonno, MD 202 South 4th Street West, Baker, MT 59313-1119 Ph: (406) 778-2833 |
Reviews and Comments