Mrs Dominno Caroline Fogle, MMS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Deer Park, Illinois. Her current practice location is
21660 W Field Pkwy, Deer Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(888) 803-3370.
Mrs Dominno Caroline Fogle is licensed to practice in Illinois (license number 085004161) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255615365.
Provider's Profile
Full Name | Mrs Dominno Caroline Fogle |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 21660 W Field Pkwy, Deer Park, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Dominno Caroline Fogle attended and graduated from in
NPI Data:
- NPI Number: 1255615365
- Provider Enumeration Date: 10/07/2011
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Dominno Caroline Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255615365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 085004161 (Illinois) | Primary |
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 Dominno Caroline Fogle 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 Dominno Caroline Fogle, MMS, PA-C 271 County Road 2325 E, Carlock, IL 61725-9020 Ph: (815) 931-0244 | Mrs Dominno Caroline Fogle, MMS, PA-C 21660 W Field Pkwy, Deer Park, IL 60010-7265 Ph: (888) 803-3370 |
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