Mrs Jessica Nicole Dornemann, ATC is a
Preventive Medicine - Sports Medicine physician based in Rockville Centre, New York. Mrs Jessica Nicole Dornemann is licensed to practice in New York (license number 002570-1) and her current practice location is 1000 Hempstead Ave, Rockville Centre, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 323-3607.
NPI number for Mrs Jessica Nicole Dornemann is 1174297261 and her current mailing address is 155 White Rd, Mineola, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174297261.
Physician's Profile
Full Name | Mrs Jessica Nicole Dornemann |
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Gender | Female |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 1000 Hempstead Ave, Rockville Centre, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174297261
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 08/03/2021
Medical Identifiers
Medical identifiers for Mrs Jessica Nicole Dornemann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174297261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | 002570-1 (New York) | Primary |
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. Mrs Jessica Nicole Dornemann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Nicole Dornemann, ATC 155 White Rd, Mineola, NY 11501-2247 Ph: (203) 561-0091 | Mrs Jessica Nicole Dornemann, ATC 1000 Hempstead Ave, Rockville Centre, NY 11570-1135 Ph: (516) 323-3607 |
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