Dominique Phelps, CNM is a medicare enrolled "Advanced Practice Midwife" in Haslett, Michigan. Her current practice location is
1650 Haslett Rd, Haslett, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 853-5576.
Dominique Phelps is licensed to practice in * (Not Available) (license number ) 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 1649983990.
Provider's Profile
| Full Name | Dominique Phelps |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1650 Haslett Rd, Haslett, Michigan |
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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: 1649983990
- Provider Enumeration Date: 01/03/2023
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416328885
- Enrollment ID: I20230123000299
Medical Identifiers
Medical identifiers for Dominique Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649983990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 4704326306 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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 Phelps allows following entities to bill medicare on her behalf.
| Entity Name | Capital Internal Medicine Associates P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780629832
PECOS PAC ID: 8022097963
Enrollment ID: O20040715000369 |
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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 Phelps 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 Phelps, CNM
3955 Patient Care Dr Ste A,
Lansing, MI 48911-4271
Ph: (517) 374-7600 | Dominique Phelps, CNM
1650 Haslett Rd,
Haslett, MI 48840-7615
Ph: (517) 853-5576 |
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