Danna Laraine Dominguez, FNP-C in San Angelo, TX

Danna Laraine Dominguez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Angelo, Texas. Her current practice location is 1610 S Chadbourne St, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 658-5339.

Danna Laraine Dominguez is licensed to practice in Texas (license number 1138724) 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 1467233668.

Contact Information

	Danna Laraine Dominguez, FNP-C
	1610 S Chadbourne St, San Angelo, TX 76903-8510
	(325) 658-5339
	(325) 947-0101

Map and Direction

Provider's Profile

Full Name	Danna Laraine Dominguez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1610 S Chadbourne St, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467233668
Provider Enumeration Date: 10/12/2023
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5991148595
Enrollment ID: I20240212000899

Medical Identifiers

Medical identifiers for Danna Laraine Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467233668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1138724 (Texas)	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. Danna Laraine Dominguez allows following entities to bill medicare on her behalf.

Entity Name	La Esperanza Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770584187 PECOS PAC ID: 7416942933 Enrollment ID: O20040415000585

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. Danna Laraine Dominguez 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
Danna Laraine Dominguez, FNP-C 6006 Alamito St, San Angelo, TX 76904-7807 Ph: (325) 245-1902	Danna Laraine Dominguez, FNP-C 1610 S Chadbourne St, San Angelo, TX 76903-8510 Ph: (325) 658-5339

Reviews and Comments

Nurse Practitioner Nurses in San Angelo, TX

Maegin M Carlile, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165
Ijeoma Unini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722
Tammie L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165
Mrs. Tina Faye Luck, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 Phone: 325-658-6524 Fax: 325-658-8895
Kate Elizabeth Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2104
Kristen Renee Owen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4251 Sunset Dr, San Angelo, TX 76904 Phone: 325-481-2226
Mrs. Roxanne Elkins Timm, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166

Danna Laraine Dominguez, FNP-C - Medicare Nurse Practitioner in San Angelo, TX