Carlo Domingo, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Hainesville, Illinois. His current practice location is
4 N Deer Point Dr, Ste 1002, Hainesville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 946-0198.
Carlo Domingo is licensed to practice in Illinois (license number 209.019378) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1194251272.
Provider's Profile
| Full Name | Carlo Domingo |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4 N Deer Point Dr, Hainesville, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carlo Domingo attended and graduated from in
NPI Data:
- NPI Number: 1194251272
- Provider Enumeration Date: 05/10/2017
- Last Update Date: 10/11/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carlo Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194251272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209.019378 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209.019378 (Illinois) | 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. Carlo 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 |
|---|
Carlo Domingo, AGNP-C
4 N Deer Point Dr., Ste 1002,
Hainesville, IL 60030-3814
Ph: (847) 946-0198 | Carlo Domingo, AGNP-C
4 N Deer Point Dr, Ste 1002,
Hainesville, IL 60030-3814
Ph: (847) 946-0198 |
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