Dr Mark Domaas, DPM - Medicare Podiatrist in Fargo, ND

Dr Mark Domaas, DPM is a medicare enrolled "Podiatrist" provider in Fargo, North Dakota. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mount Sinai Community Foundation and his current practice location is 4450 31st Ave S, Ste 102, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 566-8721.

Dr Mark Domaas is licensed to practice in North Dakota (license number 82) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265845010.

Contact Information

Dr Mark Domaas, DPM
4450 31st Ave S, Ste 102,
Fargo, ND 58104-4557
(701) 566-8721
(701) 205-4593

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark Domaas
GenderMale
SpecialityPodiatry
Experience11 Years
Location4450 31st Ave S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Domaas graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1265845010
  • Provider Enumeration Date: 06/10/2014
  • Last Update Date: 04/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335479989
  • Enrollment ID: I20210913000376

Medical Identifiers

Medical identifiers for Dr Mark Domaas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265845010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 016005716 (Illinois)Secondary
213E00000XPodiatrist 82 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mt Sinai Hospital Medical CenterChicago, ILHospital
Holy Cross HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount Sinai Community Foundation5991600405207

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. Dr Mark Domaas allows following entities to bill medicare on his behalf.
Provider NameMount Sinai Community Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376715896
PECOS PAC ID: 5991600405
Enrollment ID: O20040202001032

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. Dr Mark Domaas 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
Dr Mark Domaas, DPM
4450 31st Ave S Ste 102,
Fargo, ND 58104-4557

Ph: (701) 561-3312
Dr Mark Domaas, DPM
4450 31st Ave S, Ste 102,
Fargo, ND 58104-4557

Ph: (701) 566-8721

Reviews and Comments


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John Paul Naughton, D.P.M.
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Brad C Anderson, DPM
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Medicare: Accepting Medicare Assignments
Practice Location: 2400 32nd Ave S, Fargo, ND 58103
Phone: 701-234-8720    Fax: 701-234-8779

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.