Domonique Vickers, in Ruskin, FL - Medicare Nurse Practitioner

Domonique Vickers, is a medicare enrolled "Nurse Practitioner - Family" in Ruskin, Florida. Her current practice location is 15418 Fire Rock Pl, Ruskin, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 498-9937.

Domonique Vickers is licensed to practice in Florida (license number APRN11005306) 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 1306419098.

Contact Information

	Domonique Vickers,
	15418 Fire Rock Pl, Ruskin, FL 33573-0196
	(813) 498-9937
	Not Available

Map and Direction

Provider's Profile

Full Name	Domonique Vickers
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15418 Fire Rock Pl, Ruskin, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306419098
Provider Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 1951785435
Enrollment ID: I20220901000924

Medical Identifiers

Medical identifiers for Domonique Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306419098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11005306 (Florida)	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. Domonique Vickers allows following entities to bill medicare on her behalf.

Entity Name	G. Alvarez, Md, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619202314 PECOS PAC ID: 6901941780 Enrollment ID: O20100304000257

Entity Name	Vital Health Concierge Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669245064 PECOS PAC ID: 0749620441 Enrollment ID: O20240429001524

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. Domonique Vickers 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
Domonique Vickers, 15418 Fire Rock Pl, Ruskin, FL 33573-0196 Ph: (813) 498-9937	Domonique Vickers, 15418 Fire Rock Pl, Ruskin, FL 33573-0196 Ph: (813) 498-9937

Reviews and Comments

Nurse Practitioner Nurses in Ruskin, FL

Selena Crandall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Sun City Center Blvd, Ruskin, FL 33573 Phone: 813-633-1980 Fax: 813-355-5104
Nicole O'connor, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10113 Count Fleet Dr, Ruskin, FL 33573 Phone: 813-362-9588
Michelle Gordon Troyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Cypress Village Blvd, Ruskin, FL 33573 Phone: 813-633-6121 Fax: 866-264-8519
Amorcita Madridondo Dougherty, A.R. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 E College Ave, Ruskin, FL 33570 Phone: 813-331-3940 Fax: 813-331-3941
Maricar C Cal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2814 14th Ave Se, Ruskin, FL 33570 Phone: 813-361-1658
Devin Cedric Warfield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1740 Bonita Bluff Ct, Ruskin, FL 33570 Phone: 904-861-5711
Jessica Spencer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9643 Lemon Drop Loop, Ruskin, FL 33573 Phone: 347-613-8658

Domonique Vickers, - Medicare Nurse Practitioner in Ruskin, FL