Erin C Radominski, APRN, AGACNP-BC - Medicare Nurse Practitioner in Dayton, OH

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Erin C Radominski, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Dayton, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 405 W Grand Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 723-3200.

Erin C Radominski is licensed to practice in Ohio (license number APRN.CNP.022872) 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 1659865103.

Contact Information

Erin C Radominski, APRN, AGACNP-BC
405 W Grand Ave,
Dayton, OH 45405
(937) 723-3200
Not Available

Map and Direction




Provider's Profile

Full NameErin C Radominski
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location405 W Grand Ave, Dayton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erin C Radominski attended and graduated from Wright State University Boonshoft School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1659865103
  • Provider Enumeration Date: 06/19/2018
  • Last Update Date: 01/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951659796
  • Enrollment ID: I20180809005907

Medical Identifiers

Medical identifiers for Erin C Radominski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659865103NPI-NPPES
0300266MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.022872 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Medical CenterFranklin, OHHospital
Miami Valley HospitalDayton, OHHospital
Upper Valley Medical CenterTroy, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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. Erin C Radominski allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameRajesh C Patel Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446369
PECOS PAC ID: 2961538467
Enrollment ID: O20100408000316
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Erin C Radominski 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 AddressPractice Location Address
Erin C Radominski, APRN, AGACNP-BC
2710 Pine Valley Ct,
Dayton, OH 45414-2159

Ph: (330) 760-5573		Erin C Radominski, APRN, AGACNP-BC
405 W Grand Ave,
Dayton, OH 45405

Ph: (937) 723-3200

Reviews and Comments


Nurse Practitioner Nurses in Dayton, OH

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Phone: 937-223-4461    Fax: 937-449-7603
Kimberly Kay Myers, N.P.
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Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459
Phone: 937-224-8200    Fax: 937-224-1770
Joni Abramczyk,
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Phone: 800-824-9861    
Rosanne Cecilia Jones,
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Kimberly Wade Young, APRN, FNP-C
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Phone: 833-510-4357    
Mr. Kenneth Levi Moore Iii, CNP
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Practice Location: 5981 Far Hills Ave, Dayton, OH 45429
Phone: 937-438-5954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.