Dr Dominic Connolly, MD in Kirkland, WA - Medicare Emergency Medicine

Dr Dominic Connolly, MD is a medicare enrolled "Emergency Medicine" physician in Kirkland, Washington. He went to Vanderbilt University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Evergreen Emergency Services Ps and his current practice location is 12040 Ne 128th St, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 899-1000.

Dr Dominic Connolly is licensed to practice in Washington (license number MD00040730) 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 1093754269.

Contact Information

	Dr Dominic Connolly, MD
	12040 Ne 128th St, Kirkland, WA 98034-3013
	(425) 899-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dominic Connolly
Gender	Male
Speciality	Emergency Medicine
Experience	25 Years
Location	12040 Ne 128th St, Kirkland, Washington
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:

Dr Dominic Connolly attended and graduated from Vanderbilt University School Of Medicine in 1999

NPI Data:

NPI Number: 1093754269
Provider Enumeration Date: 06/05/2006
Last Update Date: 12/04/2007

Medicare PECOS Information:

PECOS PAC ID: 1951328525
Enrollment ID: I20051220000797

Medical Identifiers

Medical identifiers for Dr Dominic Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093754269	NPI	-	NPPES
P00287612	Other		RAILROAD MEDICARE
H58804	Other		GROUP HEALTH
204018	Other		WA L & I
8323958	Medicaid	WA
0730CO	Other		REGENCE BS
8940418	Other		WA CRIME VICTIM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD00040730 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Evergreenhealth Medical Center	Kirkland, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evergreen Emergency Services Ps	4981694155	32

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. Dr Dominic Connolly allows following entities to bill medicare on his behalf.

Entity Name	King County Public Hospital District No 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

Entity Name	Evergreen Emergency Services Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743

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. Dr Dominic Connolly 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
Dr Dominic Connolly, MD File 50421, Los Angeles, CA 90074-0001 Ph: (800) 793-3529	Dr Dominic Connolly, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 899-1000

Reviews and Comments

Emergency Medicine Doctors in Kirkland, WA

Austin M Gross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1711
Dr. Wade W Webster, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000
Dr. Larisa A Kaukonen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000
Dr. Chad M Bentsen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000
Dr. Ronald Cole Dobson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8315 Ne Juanita Dr, Kirkland, WA 98034 Phone: 206-718-4072 Fax: 206-215-6599
Dr. Adrian M Whorton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000

Dr Dominic Connolly, MD - Medicare Emergency Medicine in Kirkland, WA