Jacqueline D Dominick, CRNP in Glen Burnie, MD

Jacqueline D Dominick, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Glen Burnie, Maryland. She went to University Of Maryland School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Maryland Baltimore Washington Heart Associates Llc and her current practice location is 301 Hospital Dr, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 787-4000.

Jacqueline D Dominick is licensed to practice in Maryland (license number R097460) 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 1366424921.

Contact Information

	Jacqueline D Dominick, CRNP
	301 Hospital Dr, Glen Burnie, MD 21061-5803
	(410) 787-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline D Dominick
Gender	Female
Speciality	Nurse Practitioner
Experience	27 Years
Location	301 Hospital Dr, Glen Burnie, Maryland
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:

Jacqueline D Dominick attended and graduated from University Of Maryland School Of Medicine in 1997

NPI Data:

NPI Number: 1366424921
Provider Enumeration Date: 11/18/2005
Last Update Date: 12/03/2007

Medicare PECOS Information:

PECOS PAC ID: 9032139720
Enrollment ID: I20051123000560

Medical Identifiers

Medical identifiers for Jacqueline D Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366424921	NPI	-	NPPES
4457	Other	MD	BRAVO/ELDER HEALTH
127573	Other	MD	JOHNS HOPKINS HEALTH CARE
408588400	Medicaid	MD
F591-0020	Other	DC	CARE FIRST BLUE CROSS
64696401	Other	MD	CARE FIRST BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R097460 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Md Baltimore Washington Medical Center	Glen burnie, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Maryland Baltimore Washington Heart Associates Llc	8729339148	16

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. Jacqueline D Dominick allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Baltimore Washington Medical Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124016696 PECOS PAC ID: 7719879485 Enrollment ID: O20040326001160

Entity Name	Mdics At Bwmc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306131578 PECOS PAC ID: 7315106184 Enrollment ID: O20120314000455

Entity Name	University Of Maryland Baltimore Washington Heart Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972084507 PECOS PAC ID: 8729339148 Enrollment ID: O20180925001720

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. Jacqueline D Dominick 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
Jacqueline D Dominick, CRNP 300 Hospital Dr, Suite 215, Glen Burnie, MD 21061-6902 Ph: (410) 787-4000	Jacqueline D Dominick, CRNP 301 Hospital Dr, Glen Burnie, MD 21061-5803 Ph: (410) 787-4000

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

Jacqueline D Dominick, CRNP - Medicare Nurse Practitioner in Glen Burnie, MD