Dr Dominique Justin Pepper, MD in Olympia, WA

Dr Dominique Justin Pepper, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Olympia, Washington. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Providence Health And Services Washington and his current practice location is 500 Lilly Rd Ne Ste 201, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 413-8272.

Dr Dominique Justin Pepper is licensed to practice in Washington (license number MD60818088) 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 1750691713.

Contact Information

	Dr Dominique Justin Pepper, MD
	500 Lilly Rd Ne Ste 201, Olympia, WA 98506
	(360) 413-8272
	(360) 413-8878

Map and Direction

Physician's Profile

Full Name	Dr Dominique Justin Pepper
Gender	Male
Speciality	Pulmonary Disease
Experience	14 Years
Location	500 Lilly Rd Ne Ste 201, Olympia, 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 Dominique Justin Pepper graduated from medical school in 2010

NPI Data:

NPI Number: 1750691713
Provider Enumeration Date: 10/08/2010
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 4183923311
Enrollment ID: I20180829002797

Medical Identifiers

Medical identifiers for Dr Dominique Justin Pepper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750691713	NPI	-	NPPES
796-L	Other	MS	MS. TEMPORARY MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD60818088 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Peter Hospital	Olympia, WA	Hospital
Providence Centralia Hospital	Centralia, WA	Hospital
Grays Harbor Community Hospital	Aberdeen, WA	Hospital
Mason General Hospital & Family Of Clinics	Shelton, WA	Hospital
Summit Pacific Medical Center-swing Bed Unit	Elma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Washington	6709782600	387

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 Dominique Justin Pepper allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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 Dominique Justin Pepper 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 Dominique Justin Pepper, MD Po Box 3360, Portland, OR 97208-3360 Ph: () -	Dr Dominique Justin Pepper, MD 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Ph: (360) 413-8272

Reviews and Comments

Internal Medicine Doctors in Olympia, WA

Miss Tui Agaapapalagi Lauilefue, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889
Monique C. Semien, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Dr. Philip William Berger, D.O. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408
Mr. Robert Love Huck, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878
Dr. Ngozi Achebe, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751
Dr. Robert C Tomford, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865
Brad Allan Howard, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477

Dr Dominique Justin Pepper, MD - Medicare Pulmonary Disease in Olympia, WA