Bruce L Domm, MD - Medicare Family Practice in Casselton, ND

Bruce L Domm, MD is a medicare enrolled "Family Medicine" physician in Casselton, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Innovis Health Llc and his current practice location is 5 9th Ave N, Casselton, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 347-4445.

Bruce L Domm is licensed to practice in North Dakota (license number 5341) 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 1730106329.

Contact Information

Bruce L Domm, MD
5 9th Ave N,
Casselton, ND 58012-3339
(701) 347-4445
(701) 347-5276



Physician's Profile

Full NameBruce L Domm
GenderMale
SpecialityFamily Practice
Experience39 Years
Location5 9th Ave N, Casselton, 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:
  • Bruce L Domm attended and graduated from University Of North Dakota School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1730106329
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 10/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5698864270
  • Enrollment ID: I20071204000854

Medical Identifiers

Medical identifiers for Bruce L Domm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730106329NPI-NPPES
37983OtherNDSIOUX VALLEY #
0106110OtherNDMEDICA #
0108127OtherNDMEDICA #
112583400MedicaidND
142308OtherNDUCARE #
ND100038OtherMNLHS #
0106108OtherNDMEDICA #
15375MedicaidND
93416DOOtherNDMNBS 3
HP19507OtherNDHEALTHPARTNERS #
336OtherNDNDBS #
DA9011015505OtherNDPREFERRED ONE #
00A28DOOtherNDMNBS #
676560OtherNDAMERICA'S PPO/ARAZ #
93416DOOtherNDMNBS #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5341 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health Home Care WestDetroit lakes, MNHome health agency
Hospice Of Red River ValleyFargo, NDHospice
Essentia HealthFargo, NDHospital
Rosewood On BroadwayFargo, NDNursing home
Villa MariaFargo, NDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

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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. Bruce L Domm allows following entities to bill medicare on his behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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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. Bruce L Domm 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
Bruce L Domm, MD
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 364-3300
Bruce L Domm, MD
5 9th Ave N,
Casselton, ND 58012-3339

Ph: (701) 347-4445

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Family Medicine Doctors in Casselton, ND


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