Mr Christopher James Dominique, RPA-C is a medicare enrolled "Physician Assistant - Surgical" in N Massapequa, New York. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is
15 Marlboro Ave, N Massapequa, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 557-3254.
Mr Christopher James Dominique is licensed to practice in New York (license number 012547-1) 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 1104083682.
Provider's Profile
| Full Name | Mr Christopher James Dominique |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 15 Marlboro Ave, N Massapequa, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Christopher James Dominique graduated from nursing school in 2008
NPI Data:
- NPI Number: 1104083682
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476831843
- Enrollment ID: I20161107000571
Medical Identifiers
Medical identifiers for Mr Christopher James Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104083682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | 012547-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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 Christopher James Dominique 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 Christopher James Dominique, RPA-C
15 Marlboro Ave,
N Massapequa, NY 11758-2429
Ph: (516) 541-8919 | Mr Christopher James Dominique, RPA-C
15 Marlboro Ave,
N Massapequa, NY 11758-2429
Ph: (516) 557-3254 |
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