Sierra Domino, APN in Janesville, WI - Medicare Nurse Practitioner

Sierra Domino, APN is a medicare enrolled "Nurse Practitioner - Family" in Janesville, Wisconsin. Her current practice location is 4407 Milton Ave Ste 120, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (815) 222-3795.

Sierra Domino is licensed to practice in Wisconsin (license number 1392633) 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 1609565324.

Contact Information

	Sierra Domino, APN
	4407 Milton Ave Ste 120, Janesville, WI 53546-9155
	(815) 222-3795
	Not Available

Map and Direction

Provider's Profile

Full Name	Sierra Domino
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4407 Milton Ave Ste 120, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609565324
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1254799463
Enrollment ID: I20230621000753

Medical Identifiers

Medical identifiers for Sierra Domino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609565324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209026959 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	1392633 (Wisconsin)	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. Sierra Domino allows following entities to bill medicare on her behalf.

Entity Name	Metro Infectious Disease Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20170209000701

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. Sierra Domino 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
Sierra Domino, APN 3585 Cross Creek Estates Ln, Belvidere, IL 61008-9734 Ph: (815) 222-3795	Sierra Domino, APN 4407 Milton Ave Ste 120, Janesville, WI 53546-9155 Ph: (815) 222-3795

Reviews and Comments

Nurse Practitioner Nurses in Janesville, WI

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Kathryn D Wroblewski, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6500
Linda P Brethauer, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6800
Stephanie K. Schlueter, APRN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6588 Fax: 608-756-4737

Sierra Domino, APN - Medicare Nurse Practitioner in Janesville, WI