Mr Charlie Dominguez, FNP in Las Cruces, NM - Medicare Nurse Practitioner

Mr Charlie Dominguez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Las Cruces, New Mexico. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice El Paso County Hospital District and his current practice location is 1605 El Paseo Rd, Las Cruces, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 523-5400.

Mr Charlie Dominguez is licensed to practice in New Mexico (license number 557338) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154883486.

Contact Information

	Mr Charlie Dominguez, FNP
	1605 El Paseo Rd, Las Cruces, NM 88001-6010
	(575) 523-5400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charlie Dominguez
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1605 El Paseo Rd, Las Cruces, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charlie Dominguez graduated from nursing school in 2018

NPI Data:

NPI Number: 1154883486
Provider Enumeration Date: 04/04/2019
Last Update Date: 04/04/2019

Medicare PECOS Information:

PECOS PAC ID: 0042543662
Enrollment ID: I20191220000065

Medical Identifiers

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

Identifier	Type	State	Issuer
1154883486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	557338 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center Of El Paso	El paso, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
El Paso County Hospital District	2365431509	128

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. Mr Charlie Dominguez allows following entities to bill medicare on his behalf.

Entity Name	El Paso County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316936990 PECOS PAC ID: 2365431509 Enrollment ID: O20040511001452

Entity Name	Umc El Paso Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528683810 PECOS PAC ID: 5395156996 Enrollment ID: O20210520001220

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. Mr Charlie 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
Mr Charlie Dominguez, FNP 1605 El Paseo Rd, Las Cruces, NM 88001-6010 Ph: (575) 523-5400	Mr Charlie Dominguez, FNP 1605 El Paseo Rd, Las Cruces, NM 88001-6010 Ph: (575) 523-5400

Reviews and Comments

Nurse Practitioner Nurses in Las Cruces, NM

Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482

Mr Charlie Dominguez, FNP - Medicare Nurse Practitioner in Las Cruces, NM