Jeffrey Dominguez, CRNA in Fort Sam Houston, TX - Medicare Nurse Anesthetist, Certified Registered

Jeffrey Dominguez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 539-9582.

Jeffrey Dominguez is licensed to practice in Texas (license number 668111) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912146390.

Contact Information

	Jeffrey Dominguez, CRNA
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 539-9582
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey Dominguez
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912146390
Provider Enumeration Date: 02/09/2009
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 6305389602
Enrollment ID: I20240614001848

Medical Identifiers

Medical identifiers for Jeffrey Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912146390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	668111 (Texas)	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. Jeffrey Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Marc Ellman Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053530907 PECOS PAC ID: 2264408152 Enrollment ID: O20040902000321

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. Jeffrey Dominguez 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
Jeffrey Dominguez, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582	Jeffrey Dominguez, CRNA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Sam Houston, TX

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588

Jeffrey Dominguez, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX