Gabrielle Kate Garces Domingo, CRNP is a medicare enrolled "Nurse Practitioner" physician in Philadelphia, Pennsylvania. Her current practice location is
6232 Market St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 444-7672.
Gabrielle Kate Garces Domingo is licensed to practice in Pennsylvania (license number SP028749) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942076781.
Physician's Profile
Full Name | Gabrielle Kate Garces Domingo |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6232 Market St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942076781
- Provider Enumeration Date: 12/04/2023
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567813991
- Enrollment ID: I20240110000278
Medical Identifiers
Medical identifiers for Gabrielle Kate Garces Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942076781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | SP028749 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP028749 (Pennsylvania) | 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. Gabrielle Kate Garces Domingo allows following entities to bill medicare on her behalf.
Entity Name | Osh - Pa Physicians Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414 |
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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. Gabrielle Kate Garces Domingo 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 |
Gabrielle Kate Garces Domingo, CRNP Po Box 746722, Atlanta, GA 30374-6722 Ph: (312) 733-9730 | Gabrielle Kate Garces Domingo, CRNP 6232 Market St, Philadelphia, PA 19139-2922 Ph: (215) 444-7672 |
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