Mrs Jessica Elana Domb, NP in Middletown, NJ - Medicare Nurse Practitioner

Mrs Jessica Elana Domb, NP is a medicare enrolled "Nurse Practitioner - Family" in Middletown, New Jersey. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Msk Monmouth and her current practice location is 480 Red Hill Rd, Middletown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (848) 225-6265.

Mrs Jessica Elana Domb is licensed to practice in New Jersey (license number 26NJ00597800) 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 1104297605.

Contact Information

	Mrs Jessica Elana Domb, NP
	480 Red Hill Rd, Middletown, NJ 07748-3052
	(848) 225-6265
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Elana Domb
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	480 Red Hill Rd, Middletown, New Jersey
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 Jessica Elana Domb graduated from nursing school in 2014

NPI Data:

NPI Number: 1104297605
Provider Enumeration Date: 10/09/2015
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7719221456
Enrollment ID: I20181206000390

Medical Identifiers

Medical identifiers for Mrs Jessica Elana Domb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104297605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	307222 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	341708 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00597800 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Msk Monmouth	1153619291	147

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 Jessica Elana Domb allows following entities to bill medicare on her behalf.

Entity Name	Msk Monmouth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922459163 PECOS PAC ID: 1153619291 Enrollment ID: O20161005002347

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 Jessica Elana Domb 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 Jessica Elana Domb, NP 9 Oran Pl, Morganville, NJ 07751-2002 Ph: (917) 443-7389	Mrs Jessica Elana Domb, NP 480 Red Hill Rd, Middletown, NJ 07748-3052 Ph: (848) 225-6265

Reviews and Comments

Nurse Practitioner Nurses in Middletown, NJ

Wendy Devirgiliis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Karyn Ter W, Middletown, NJ 07748 Phone: 732-832-5540
Danielle J Alexieff, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Woodridge Ave, Middletown, NJ 07748 Phone: 908-902-9058
Dianne H. Drum, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 Leonardville Rd, Middletown, NJ 07748 Phone: 732-671-0860 Fax: 732-671-6467
Jacintha Ballingall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Red Hill Rd, Middletown, NJ 07748 Phone: 848-225-6308
Maureen Voccola, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Brasch Blvd, Middletown, NJ 07748 Phone: 973-632-7641
Regina E Opare-sem, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Leonardville Rd, Middletown, NJ 07748 Phone: 732-671-8479 Fax: 732-348-1770

Mrs Jessica Elana Domb, NP - Medicare Nurse Practitioner in Middletown, NJ