Dominique Marie Fatica, - Medicare Nurse Practitioner in Lakewood, OH

  1. Home
  2. Nurse Practitioner
  3. OH
  4. Lakewood
Dominique Marie Fatica, is a medicare enrolled "Nurse Practitioner - Family" in Lakewood, Ohio. Her current practice location is 11706 Clifton Blvd, Lakewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Dominique Marie Fatica is licensed to practice in Ohio (license number APRN.CNP.0033468) 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 1003517921.

Contact Information

Dominique Marie Fatica,
11706 Clifton Blvd,
Lakewood, OH 44107-2018
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameDominique Marie Fatica
GenderFemale
SpecialityNurse Practitioner - Family
Location11706 Clifton Blvd, Lakewood, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003517921
  • Provider Enumeration Date: 03/16/2023
  • Last Update Date: 03/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921463472
  • Enrollment ID: I20230505000395

Medical Identifiers

Medical identifiers for Dominique Marie Fatica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003517921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0033468 (Ohio)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. Dominique Marie Fatica allows following entities to bill medicare on her behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameMinuteclinic Diagnostic Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699747303
PECOS PAC ID: 2961425608
Enrollment ID: O20060109001066

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. Dominique Marie Fatica 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
Dominique Marie Fatica,
11706 Clifton Blvd,
Lakewood, OH 44107-2018

Ph: (866) 389-2727		Dominique Marie Fatica,
11706 Clifton Blvd,
Lakewood, OH 44107-2018

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in Lakewood, OH

Regina West, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1522 Victoria Ave, Lakewood, OH 44107
Phone: 216-308-2284    
Nicole Buckley,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 216-228-9296    
Madelyn Suzanne Yacavino, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11706 Clifton Blvd, Lakewood, OH 44107
Phone: 216-228-9296    
Elizabeth Crespo, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14519 Detroit Ave, Lakewood, OH 44107
Phone: 216-521-4200    
Sherri Whitaker, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15800 Detroit Ave, Lakewood, OH 44107
Phone: 216-226-8700    Fax: 216-221-3171
Mrs. Christine Ann Dearth, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107
Phone: 216-529-5300    Fax: 216-529-5301

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.