Jacob Dominik, MD - Medicare Neurology in Rochester, NY

Jacob Dominik, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Rochester, New York. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Nicholas H Noyes Memorial Hospital, Sleep Insights Medical Associates Pllc and his current practice location is 755 Jefferson Rd, Ste 110, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 419-7948.

Jacob Dominik is licensed to practice in New York (license number 257520) 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 1629233861.

Contact Information

Jacob Dominik, MD
755 Jefferson Rd, Ste 110,
Rochester, NY 14623-3233
(585) 419-7948
(585) 385-6071

Map and Direction




Physician's Profile

Full NameJacob Dominik
GenderMale
SpecialityNeurology
Experience19 Years
Location755 Jefferson Rd, Rochester, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Dominik graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1629233861
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739225038
  • Enrollment ID: I20110615000831

Medical Identifiers

Medical identifiers for Jacob Dominik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629233861NPI-NPPES
ENROLLEDMedicaidIA
03400199MedicaidNY
ENROLLEDMedicaidMN
P010257520OtherNYEXCELLUS
P00804268OtherMNMEDICARE - RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine 104326 (Minnesota)Secondary
2084N0400XPsychiatry & Neurology - Neurology 52196 (Minnesota)Secondary
2084N0400XPsychiatry & Neurology - Neurology 104326 (Minnesota)Secondary
2084N0400XPsychiatry & Neurology - Neurology ME98936 (Florida)Secondary
2084S0012XPsychiatry & Neurology - Sleep Medicine 257520 (New York)Secondary
2084N0400XPsychiatry & Neurology - Neurology 257520 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nicholas H Noyes Memorial HospitalDansville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nicholas H Noyes Memorial Hospital307250553691
Sleep Insights Medical Associates Pllc832534532510

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. Jacob Dominik allows following entities to bill medicare on his behalf.
Entity NameNicholas H Noyes Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625661
PECOS PAC ID: 3072505536
Enrollment ID: O20040402000492
Entity NameSleep Insights Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457728420
PECOS PAC ID: 8325345325
Enrollment ID: O20160317002038

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. Jacob Dominik 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 AddressPractice Location Address
Jacob Dominik, MD
755 Jefferson Rd, Ste 110,
Rochester, NY 14623-3233

Ph: (585) 419-7948
Jacob Dominik, MD
755 Jefferson Rd, Ste 110,
Rochester, NY 14623-3233

Ph: (585) 419-7948

Reviews and Comments


Psychiatry & Neurology Doctors in Rochester, NY

Kevin Paul Brazill, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2613 W Henrietta Rd, Rochester, NY 14623
Phone: 585-279-4999    
Jason Don Crowley, M.D., M.P.H.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Pinewild Dr Ste A2, Rochester, NY 14606
Phone: 585-368-6700    
Sanjay Kevin Anandaram, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Portland Ave Ste 445, Rochester, NY 14621
Phone: 585-922-4371    Fax: 585-922-7485
Cameron Elizabeth Houle, FNP-C
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 919 Westfall Rd Ste 100, Rochester, NY 14618
Phone: 585-341-7500    
Dr. Wendy Rosen, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11 North Goodman St. Room #24, Rochester, NY 14607
Phone: 585-473-8180    Fax: 585-473-8180
Dr. Julie L Fudge, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 370 Westminster Rd, Rochester, NY 14607
Phone: 585-241-3648    
Irene H Richard, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 919 Westfall Rd, Bldg C, Suite 220, Rochester, NY 14618
Phone: 585-341-7500    Fax: 585-341-7510

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.