Mrs Tonya Marie Dominguez, NURSE PRACTITIONER in Phoenix, AZ

Mrs Tonya Marie Dominguez, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 1111 E Mcdowell Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 358-6180.

Mrs Tonya Marie Dominguez is licensed to practice in Arizona (license number AP11170) 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 1710492509.

Contact Information

	Mrs Tonya Marie Dominguez, NURSE PRACTITIONER
	1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
	(602) 358-6180
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tonya Marie Dominguez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1111 E Mcdowell Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710492509
Provider Enumeration Date: 12/03/2017
Last Update Date: 05/05/2018

Medicare PECOS Information:

PECOS PAC ID: 4284981473
Enrollment ID: I20180718004026

Medical Identifiers

Medical identifiers for Mrs Tonya Marie Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710492509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN145688 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	AP11170 (Arizona)	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 Tonya Marie Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Pophealthcare Medical Services Of Az Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760884175 PECOS PAC ID: 5799098844 Enrollment ID: O20150717001256

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 Tonya Marie Dominguez 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 Tonya Marie Dominguez, NURSE PRACTITIONER 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 358-6180	Mrs Tonya Marie Dominguez, NURSE PRACTITIONER 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 358-6180

Reviews and Comments

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Mrs Tonya Marie Dominguez, NURSE PRACTITIONER - Medicare Nurse Practitioner in Phoenix, AZ