Dominique Nicole Blagojevic, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in New Franklin, Ohio. Her current practice location is
5147 Manchester Rd, New Franklin, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 644-3747.
Dominique Nicole Blagojevic is licensed to practice in Ohio (license number APRN.CNP.0031786) 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 1821725888.
Provider's Profile
| Full Name | Dominique Nicole Blagojevic |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 5147 Manchester Rd, New Franklin, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821725888
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860862380
- Enrollment ID: I20221228000448
Medical Identifiers
Medical identifiers for Dominique Nicole Blagojevic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821725888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0031786 (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 Nicole Blagojevic allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Care Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114902137
PECOS PAC ID: 1052207727
Enrollment ID: O20040227000660 |
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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 Nicole Blagojevic 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 |
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Dominique Nicole Blagojevic, CNP
Po Box 932909,
Cleveland, OH 44193-0026
Ph: (330) 854-4281 | Dominique Nicole Blagojevic, CNP
5147 Manchester Rd,
New Franklin, OH 44319-3911
Ph: (330) 644-3747 |
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