Dominique Pummill, PMHNP in Albuquerque, NM - Medicare Nurse Practitioner

Dominique Pummill, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albuquerque, New Mexico. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exclusive Psychiatric Care Llc, Otero County Hospital Association and her current practice location is 601 Martin Luther King Ave Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 288-3173.

Dominique Pummill is licensed to practice in New Mexico (license number CNP03564) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609364249.

Contact Information

	Dominique Pummill, PMHNP
	601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619
	(505) 288-3173
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominique Pummill
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	601 Martin Luther King Ave Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dominique Pummill graduated from nursing school in 2017

NPI Data:

NPI Number: 1609364249
Provider Enumeration Date: 04/30/2018
Last Update Date: 04/30/2018

Medicare PECOS Information:

PECOS PAC ID: 2062756257
Enrollment ID: I20181128002386

Medical Identifiers

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

Identifier	Type	State	Issuer
1609364249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP03564 (New Mexico)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Exclusive Psychiatric Care Llc	0446579569	2
Otero County Hospital Association	3173516606	142

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 Pummill allows following entities to bill medicare on her behalf.

Entity Name	Lovelace Health System Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245798024 PECOS PAC ID: 9739099326 Enrollment ID: O20031210000397

Entity Name	Otero County Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377

Entity Name	Exclusive Psychiatric Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609267103 PECOS PAC ID: 0446579569 Enrollment ID: O20150512000295

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 Pummill 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 Pummill, PMHNP Po Box 966, Fairacres, NM 88033-0966 Ph: (575) 805-0695	Dominique Pummill, PMHNP 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 Ph: (505) 288-3173

Reviews and Comments

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Dominique Pummill, PMHNP - Medicare Nurse Practitioner in Albuquerque, NM