Mrs Amanda Joy Dominik, CNP in Arden Hills, MN

Mrs Amanda Joy Dominik, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Arden Hills, Minnesota. Her current practice location is 4411 Arden View Ct, Arden Hills, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 331-0827.

Mrs Amanda Joy Dominik is licensed to practice in Minnesota (license number 7377) 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 1518587120.

Contact Information

	Mrs Amanda Joy Dominik, CNP
	4411 Arden View Ct, Arden Hills, MN 55112-1944
	(651) 331-0827
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda Joy Dominik
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4411 Arden View Ct, Arden Hills, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518587120
Provider Enumeration Date: 04/23/2020
Last Update Date: 04/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9739597865
Enrollment ID: I20210409000472

Medical Identifiers

Medical identifiers for Mrs Amanda Joy Dominik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518587120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	7377 (Minnesota)	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. Mrs Amanda Joy Dominik allows following entities to bill medicare on her behalf.

Entity Name	Gillette Childrens Specialty Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485

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. Mrs Amanda Joy Dominik 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
Mrs Amanda Joy Dominik, CNP 4411 Arden View Ct, Arden Hills, MN 55112-1944 Ph: (651) 331-0827	Mrs Amanda Joy Dominik, CNP 4411 Arden View Ct, Arden Hills, MN 55112-1944 Ph: (651) 331-0827

Reviews and Comments

Nurse Practitioner Nurses in Arden Hills, MN

Judith A Kuczenski, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3930 Northwoods Dr - Mail Stop 32800a, Health Partners Arden Hills Clinic, Arden Hills, MN 55112 Phone: 651-523-8500 Fax: 651-523-8584
Ellen Virginia Kearney, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3930 Northwoods Dr, Arden Hills, MN 55112 Phone: 952-853-8800
Dr. David Wrobleski, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 Northwoods Dr, Arden Hills, MN 55112 Phone: 651-787-9600
Jenna Herman, DNP, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4001 Lexington Ave N, Arden Hills, MN 55126 Phone: 701-530-7000
Kathleen Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3930 Northwoods Dr, Arden Hills, MN 55112 Phone: 651-523-8500 Fax: 651-523-8584
Kathryn Lynn Dauble, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3930 Northwoods Dr, Arden Hills, MN 55112 Phone: 952-853-8800 Fax: 651-523-8584

Mrs Amanda Joy Dominik, CNP - Medicare Nurse Practitioner in Arden Hills, MN