Mrs Kimberly Irby Dominique, FNP in Pascagoula, MS

Mrs Kimberly Irby Dominique, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pascagoula, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital At Gulfport and her current practice location is 4310 Chicot St, Pascagoula, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 205-4737.

Mrs Kimberly Irby Dominique is licensed to practice in Mississippi (license number 904287) 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 1902496524.

Contact Information

	Mrs Kimberly Irby Dominique, FNP
	4310 Chicot St, Pascagoula, MS 39581-4700
	(228) 205-4737
	(228) 205-4964

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Irby Dominique
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4310 Chicot St, Pascagoula, Mississippi
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 Kimberly Irby Dominique graduated from nursing school in 2020

NPI Data:

NPI Number: 1902496524
Provider Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9638576788
Enrollment ID: I20210916001822

Medical Identifiers

Medical identifiers for Mrs Kimberly Irby Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902496524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904287 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	385

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 Kimberly Irby Dominique allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

Entity Name	Gulf Coast Wound Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467118448 PECOS PAC ID: 2466847744 Enrollment ID: O20220323002319

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 Kimberly Irby 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
Mrs Kimberly Irby Dominique, FNP 3709 Oak Ave, Gulfport, MS 39507-3108 Ph: (228) 596-5301	Mrs Kimberly Irby Dominique, FNP 4310 Chicot St, Pascagoula, MS 39581-4700 Ph: (228) 205-4737

Reviews and Comments

Nurse Practitioner Nurses in Pascagoula, MS

Mrs. Leslie Estes Shavers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2210 Denny Ave, Pascagoula, MS 39567 Phone: 228-372-6043
William Wenstrom, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3615 Hospital St, Pascagoula, MS 39581 Phone: 228-230-2663 Fax: 228-546-3257
Mrs. Gina Marie Guillotte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5251 Fax: 228-809-5255
Jennifer Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2809n Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000
Mrs. Ashley N Hilsabeck, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349
Kendra S Gardner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 Jefferson St, Pascagoula, MS 39563 Phone: 228-769-1166
Mrs. Laura Michele Schepens, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St, Pascagoula, MS 39581 Phone: 228-769-9797 Fax: 228-769-9779

Mrs Kimberly Irby Dominique, FNP - Medicare Nurse Practitioner in Pascagoula, MS