Dr Dominic Omar Ansari, MD, PHD in Crescent City, CA

Dr Dominic Omar Ansari, MD, PHD is a medicare enrolled "Pediatrics" physician in Crescent City, California. His current practice location is 800 E Washington Blvd, Crescent City, California. You can reach out to his office (for appointments etc.) via phone at (707) 464-8511.

Dr Dominic Omar Ansari is licensed to practice in New York (license number 285015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366737942.

Contact Information

	Dr Dominic Omar Ansari, MD, PHD
	800 E Washington Blvd, Crescent City, CA 95531-8359
	(707) 464-8511
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dominic Omar Ansari
Gender	Male
Speciality	Pediatrics
Location	800 E Washington Blvd, Crescent City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366737942
Provider Enumeration Date: 06/13/2011
Last Update Date: 05/29/2019

Medicare PECOS Information:

PECOS PAC ID: 6002122041
Enrollment ID: I20161130000488

Medical Identifiers

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

Identifier	Type	State	Issuer
1366737942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	285015 (New York)	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. Dr Dominic Omar Ansari allows following entities to bill medicare on his behalf.

Entity Name	Weill Medical College Of Cornell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661

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 Omar Ansari 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 Omar Ansari, MD, PHD 300 Lenora St # 101, Seattle, WA 98121-2411 Ph: (512) 766-7512	Dr Dominic Omar Ansari, MD, PHD 800 E Washington Blvd, Crescent City, CA 95531-8359 Ph: (707) 464-8511

Reviews and Comments

Pediatrics Doctors in Crescent City, CA

Susan Brallier, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715 Fax: 707-464-9593
Anne Marie Duncan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Marshall St, Crescent City, CA 95531 Phone: 707-465-1126 Fax: 707-465-0937
Hannah Parker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 550 E Washington Blvd Bldg Suite100, Crescent City, CA 95531 Phone: 707-465-6925
Richard Fulroth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070
Dr. Carla Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 780 E Washington Blvd, Ste 202, Crescent City, CA 95531 Phone: 707-464-6715

Dr Dominic Omar Ansari, MD, PHD - Medicare Pediatrics in Crescent City, CA