Gabriella Domka, CNP in Mansfield, OH - Medicare Nurse Practitioner

Gabriella Domka, CNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Ohio. She went to Ohio State University College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ohiohealth Corporation and her current practice location is 550 S Trimble Rd, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 756-1961.

Gabriella Domka is licensed to practice in Ohio (license number 020911) 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 1588192041.

Contact Information

	Gabriella Domka, CNP
	550 S Trimble Rd, Mansfield, OH 44906-3418
	(419) 756-1961
	Not Available

Map and Direction

Provider's Profile

Full Name	Gabriella Domka
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	550 S Trimble Rd, Mansfield, Ohio
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:

Gabriella Domka attended and graduated from Ohio State University College Of Medicine in 2017

NPI Data:

NPI Number: 1588192041
Provider Enumeration Date: 05/30/2017
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1850664764
Enrollment ID: I20170829000091

Medical Identifiers

Medical identifiers for Gabriella Domka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588192041	NPI	-	NPPES
0237622	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	020911 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohiohealth Mansfield Hospital	Mansfield, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohiohealth Corporation	6305758426	1940

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. Gabriella Domka allows following entities to bill medicare on her behalf.

Entity Name	Uchenna Ezike
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1073630893 PECOS PAC ID: 2668518960 Enrollment ID: I20090929000658

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Mid-state Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598029498 PECOS PAC ID: 9032375878 Enrollment ID: O20120724000439

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. Gabriella Domka 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
Gabriella Domka, CNP Po Box 7527, Dublin, OH 43017-0727 Ph: (419) 520-2495	Gabriella Domka, CNP 550 S Trimble Rd, Mansfield, OH 44906-3418 Ph: (419) 756-1961

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, OH

Amanda Nicole Lilly, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191 Fax: 419-525-6723
Brianna Cassidy, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-6191
Laura Mae Blanton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 S Trimble Rd, Mansfield, OH 44907 Phone: 419-951-2020
Denise Lynn Berger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2615 Springmill West Rd, Mansfield, OH 44903 Phone: 419-560-8141
Mrs. Angela Lynn Granson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Madison Rd, Mansfield, OH 44905 Phone: 419-589-9700 Fax: 419-589-2731
Shannon Arlene Trzcinski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 S Trimble Rd, Mansfield, OH 44906 Phone: 419-774-0478 Fax: 419-774-9887
Jesse W Glass, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 N Main St, Mansfield, OH 44903 Phone: 740-361-9355

Gabriella Domka, CNP - Medicare Nurse Practitioner in Mansfield, OH