Dominique S Fertal, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canandaigua, New York. Her current practice location is
350 Parrish St, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 919-2668.
Dominique S Fertal is licensed to practice in New York (license number 629842) 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 1891220810.
Provider's Profile
| Full Name | Dominique S Fertal |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 350 Parrish St, Canandaigua, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominique S Fertal attended and graduated from in
NPI Data:
- NPI Number: 1891220810
- Provider Enumeration Date: 04/27/2017
- Last Update Date: 01/13/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dominique S Fertal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891220810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN656120 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN656120 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 629842 (New York) | Primary |
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 S Fertal 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 S Fertal, CRNA
601 Elmwood Ave Box 604,
Rochester, NY 14642-0001
Ph: (585) 275-1385 | Dominique S Fertal, CRNA
350 Parrish St,
Canandaigua, NY 14424-1731
Ph: (585) 919-2668 |
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