Lisa Mary Dominach, ARNP - Medicare Nurse Practitioner in Port Charlotte, FL

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Lisa Mary Dominach, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Charlotte, Florida. Her current practice location is 2335 Aaron St, Port Charlotte, Florida. You can reach out to her office (for appointments etc.) via phone at (855) 979-5700.

Lisa Mary Dominach is licensed to practice in Florida (license number ARNP9360998) 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 1811232515.

Contact Information

Lisa Mary Dominach, ARNP
2335 Aaron St,
Port Charlotte, FL 33952-5305
(855) 979-5700
(855) 979-5701

Map and Direction




Provider's Profile

Full NameLisa Mary Dominach
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2335 Aaron St, Port Charlotte, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811232515
  • Provider Enumeration Date: 12/06/2012
  • Last Update Date: 03/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9830338359
  • Enrollment ID: I20140304001305

Medical Identifiers

Medical identifiers for Lisa Mary Dominach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811232515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ00408700 (New Jersey)Secondary
363LA2200XNurse Practitioner - Adult Health ARNP9360998 (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. Lisa Mary Dominach allows following entities to bill medicare on her behalf.
Entity NameJohn Canterbury Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174710123
PECOS PAC ID: 5092803130
Enrollment ID: O20071126000692
Entity NameLandmark Hospital Of Southwest Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932595659
PECOS PAC ID: 3072827880
Enrollment ID: O20160624000695
Entity NamePremier Inpatient Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568916492
PECOS PAC ID: 3476832528
Enrollment ID: O20161114002121
Entity NameLandmark Medical Of Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639888571
PECOS PAC ID: 7810369725
Enrollment ID: O20230202000078

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. Lisa Mary Dominach 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
Lisa Mary Dominach, ARNP
3434 Hancock Bridge Pkwy, Ste 301,
North Fort Myers, FL 33904-7094

Ph: (877) 856-3774		Lisa Mary Dominach, ARNP
2335 Aaron St,
Port Charlotte, FL 33952-5305

Ph: (855) 979-5700

Reviews and Comments


Nurse Practitioner Nurses in Port Charlotte, FL

Maria Lourdes Laquian, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2343 Aaron St, Port Charlotte, FL 33952
Phone: 855-979-5700    
Maureen Ann Wertz, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2315 Aaron St, Port Charlotte, FL 33952
Phone: 855-674-7700    Fax: 941-764-8455
Bobbi Hawver, NP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948
Phone: 941-743-4700    
Roxana Maria Rodriguez Rey, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2343 Aaron St, Port Charlotte, FL 33952
Phone: 877-856-3774    
Carla K Garcia, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952
Phone: 941-629-1181    
Rita Felicia De Palma, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952
Phone: 941-624-2704    Fax: 941-627-6066
Ms. Carin Melanie Calabrese, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952
Phone: 941-613-1356    

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.