STEPHANIE JEAN DOMINGUEZ PA-C
NPI 1750683371
Physician Assistant - Medical in Milwaukee, WI

NPI Status: Active since December 02, 2010

Contact Information

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 672-1353
Fax: (414) 672-4265

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  • Individual
  • Female
  • Years of Experience 16
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEPHANIE DOMINGUEZ

This page provides the complete NPI Profile along with additional information for Stephanie Dominguez, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant, focusing in medical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1750683371 assigned on December 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 2696-23 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1750683371
Provider Name
STEPHANIE JEAN DOMINGUEZ PA-C
Other Name
STEPHANIE JEAN REINFELDT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2906 S 20TH ST MILWAUKEE, WI 53215
Location Phone
(414) 672-1353
Location Fax
(414) 672-4265
Mailing Address
2906 S 20TH ST MILWAUKEE, WI 53215
Mailing Phone
(414) 672-1353
Mailing Fax
(414) 672-4265
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
12-02-2010
Last Update Date
12-02-2010
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A primary care provider (PCP) like Stephanie Dominguez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2696-23
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Signature Prestige Bronze $0 Deductible - HMO
  • Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Stephanie Dominguez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stephanie Dominguez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658551809

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110207000034

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for STEPHANIE JEAN DOMINGUEZ PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750683371
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001286314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 6 + 3 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750683371 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JILL A STEPHENS MD

Radiology

(Diagnostic Radiology)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-8800

AURORA PHARMACY INC

Pharmacy

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-7850

DR. MARCOS MARTIN DE LA CRUZ M.D.

Pediatrics

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

ANDREA P JANIS-TOWEY PHD

Psychologist

(Clinical)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

PEGGY KAY MOORE OT

Occupational Therapist

2906 S 20TH ST
LOWER LEVEL
MILWAUKEE, WI
ZIP 53215

(414) 385-6265

ANGELA ROSE FERNANDEZ MSW, APSW

Social Worker

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-6222

SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC

Clinic/Center

(Federally Qualified Health Center (FQHC))

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

CATRINA MARIE PINKHAM OTR

Occupational Therapist

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-6232

JAMES A EITING

Pharmacist

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-7850

DR. WILLIAM GUNDRUM PHARM.D.

Pharmacist

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 385-7850

DR. NANCY THI NGUYEN M.D.

Family Medicine

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

DR. MICHELLE LYNN BUELOW M.D.

Family Medicine

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

CYNTHIA E FRANZOLIN LPC-IT

Counselor

(Professional)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

JUANA MARIA DORGER LCSW

Social Worker

(Clinical)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

KAREN STERN CNM

Advanced Practice Midwife

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

MRS. MARNI KOPENSKI HEBERT F.N.P.

Nurse Practitioner

(Family)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

JANE MARIE COLLIS-GEERS M.D.

Ophthalmology

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

DR. JOHN JOSEPH TRIMBERGER M.D.

Family Medicine

(Geriatric Medicine)

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 672-1353

PATRICIA DEQUARDO RDH

Dental Hygienist

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 897-5434

DIANE COLETTE KOTHERA RDH

Dental Hygienist

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215

(414) 897-5193

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750683371, enumerated as an "individual" on December 02, 2010.

The provider is located at 2906 S 20TH ST MILWAUKEE, WI 53215 and the phone number is (414) 672-1353.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Dean Health Plan, Molina Healthcare and Network. Please consult your insurance carrier or call the provider to verify.