Domenic Joseph Cancilla, PMHNP-BC - Medicare Nurse Practitioner in Toledo, OH

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Domenic Joseph Cancilla, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Toledo, Ohio. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mercy Health Physicians North Specialty Care Llc and his current practice location is 2005 Ashland Ave, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 841-7701.

Domenic Joseph Cancilla is licensed to practice in Ohio (license number APRN.CNP.0030043) 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 1487318713.

Contact Information

Domenic Joseph Cancilla, PMHNP-BC
2005 Ashland Ave,
Toledo, OH 43620-1703
(419) 841-7701
(419) 841-1691

Map and Direction




Provider's Profile

Full NameDomenic Joseph Cancilla
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location2005 Ashland Ave, Toledo, Ohio
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:
  • Domenic Joseph Cancilla graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1487318713
  • Provider Enumeration Date: 10/22/2021
  • Last Update Date: 06/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658760368
  • Enrollment ID: I20211118002725

Medical Identifiers

Medical identifiers for Domenic Joseph Cancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487318713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0030043 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians North Specialty Care Llc1951707884305

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. Domenic Joseph Cancilla allows following entities to bill medicare on his behalf.
Entity NameMercy Health Physicians-north Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609000769
PECOS PAC ID: 2668522400
Enrollment ID: O20090616000750
Entity NameMercy Health Physicians North Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306468418
PECOS PAC ID: 1951707884
Enrollment ID: O20210901001534

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. Domenic Joseph Cancilla 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
Domenic Joseph Cancilla, PMHNP-BC
2005 Ashland Ave,
Toledo, OH 43620-1703

Ph: (419) 841-7701		Domenic Joseph Cancilla, PMHNP-BC
2005 Ashland Ave,
Toledo, OH 43620-1703

Ph: (419) 841-7701

Reviews and Comments


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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.