Mr John Paolo Estanisalo Domingo, APRN in Las Vegas, NV

Mr John Paolo Estanisalo Domingo, APRN is a medicare enrolled "Nurse Practitioner - Family" in Las Vegas, Nevada. His current practice location is 5216 Boulder Hwy Ste 105, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 547-6764.

Mr John Paolo Estanisalo Domingo is licensed to practice in Nevada (license number 816856) 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 1982320966.

Contact Information

	Mr John Paolo Estanisalo Domingo, APRN
	5216 Boulder Hwy Ste 105, Las Vegas, NV 89122-6075
	(702) 547-6764
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Paolo Estanisalo Domingo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5216 Boulder Hwy Ste 105, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982320966
Provider Enumeration Date: 10/12/2022
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0042688277
Enrollment ID: I20221119000496

Medical Identifiers

Medical identifiers for Mr John Paolo Estanisalo Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982320966	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	816856 (Nevada)	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. Mr John Paolo Estanisalo Domingo allows following entities to bill medicare on his behalf.

Entity Name	Carefirst Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013527845 PECOS PAC ID: 3779901939 Enrollment ID: O20200921001170

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 John Paolo Estanisalo Domingo 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 John Paolo Estanisalo Domingo, APRN 1428 S Phyllis St, Las Vegas, NV 89142-0977 Ph: (702) 460-0195	Mr John Paolo Estanisalo Domingo, APRN 5216 Boulder Hwy Ste 105, Las Vegas, NV 89122-6075 Ph: (702) 547-6764

Reviews and Comments

Nurse Practitioner Nurses in Las Vegas, NV

Dena Kae Meeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128 Phone: 702-878-0393 Fax: 702-940-5601
Vanesa Francis Cheng, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123 Phone: 888-803-3370 Fax: 661-634-1040
Ms. Lotis Gay Perilla Edano, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169 Phone: 702-732-2438 Fax: 702-733-7876
Jann Stacey Pickens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4506 Fax: 702-388-4810
Tamaris Samantha Cotta, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148 Phone: 702-366-1268 Fax: 702-366-7079
Tasha Gouin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148 Phone: 702-430-5333
Aric Pedro Adaoag, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183 Phone: 702-202-6336 Fax: 702-202-6318

Mr John Paolo Estanisalo Domingo, APRN - Medicare Nurse Practitioner in Las Vegas, NV