Dominique Pope, PMHNP in Ellicott City, MD - Medicare Nurse Practitioner

Dominique Pope, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellicott City, Maryland. Her current practice location is 4914 Orchard Dr, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 851-6992.

Dominique Pope is licensed to practice in Maryland (license number R210646) 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 1700591385.

Contact Information

	Dominique Pope, PMHNP
	4914 Orchard Dr, Ellicott City, MD 21043-6725
	(443) 851-6992
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Pope
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4914 Orchard Dr, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700591385
Provider Enumeration Date: 01/18/2023
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4981051885
Enrollment ID: I20231115001059

Medical Identifiers

Medical identifiers for Dominique Pope such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700591385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R210646 (Maryland)	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 Pope allows following entities to bill medicare on her behalf.

Entity Name	Healthwell, Np Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467009423 PECOS PAC ID: 4880924760 Enrollment ID: O20190918002887

Entity Name	Grounded Guidance Psychiatry And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265207310 PECOS PAC ID: 1456792308 Enrollment ID: O20240509003388

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 Pope 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
Dominique Pope, PMHNP 9091 Snowden River Pkwy # 11196, Columbia, MD 21046-1657 Ph: () -	Dominique Pope, PMHNP 4914 Orchard Dr, Ellicott City, MD 21043-6725 Ph: (443) 851-6992

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179
Virginia Sine, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2502 River Ridge Trl, Ellicott City, MD 21043 Phone: 410-336-1269

Dominique Pope, PMHNP - Medicare Nurse Practitioner in Ellicott City, MD