Sarah E Dominique, APN CDE - Medicare Clinical Nurse Specialist in Peoria, IL

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Sarah E Dominique, APN CDE is a medicare enrolled "Clinical Nurse Specialist - Pediatrics" in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 624-2480.

Sarah E Dominique is licensed to practice in Illinois (license number 209010901) 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 1114348620.

Contact Information

Sarah E Dominique, APN CDE
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 624-2480
Not Available

Map and Direction




Provider's Profile

Full NameSarah E Dominique
GenderFemale
SpecialityClinical Nurse Specialist - Pediatrics
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114348620
  • Provider Enumeration Date: 12/31/2013
  • Last Update Date: 12/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4385873710
  • Enrollment ID: I20140206000694

Medical Identifiers

Medical identifiers for Sarah E Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114348620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0200XClinical Nurse Specialist - Pediatrics 209010901 (Illinois)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. Sarah E Dominique allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Sarah E 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 AddressPractice Location Address
Sarah E Dominique, APN CDE
1400 Flossmoor Ave,
Washington, IL 61571-1108

Ph: () -		Sarah E Dominique, APN CDE
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 624-2480

Reviews and Comments


Clinical Nurse Specialist Nurses in Peoria, IL

Cheryl Herrmann,
Clinical Nurse Specialist
Medicare: May Accept Medicare Assignments
Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606
Phone: 309-672-4670    
Ms. Colleen Susanne Cushing Ragon, APN, CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Mrs. Heather A Boore, APN, CNS-BC
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603
Phone: 309-624-9844    
Mrs. Jessica M Stewart, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3215
Mckenzie Regan Likes, APN-C
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5522    
Melissa R Norris, CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 3525 N University St, Peoria, IL 61604
Phone: 309-886-9172    Fax: 309-509-4045

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.