Dominick Peter Trivisonno, MD in Baker, MT - General Practice

Dominick Peter Trivisonno, MD is a General Practice physician based in Baker, Montana. Dominick Peter Trivisonno is licensed to practice in New York (license number 173465) and his current practice location is 202 South 4th Street West, Baker, Montana. He can be reached at his office (for appointments etc.) via phone at (406) 778-2833.

NPI number for Dominick Peter Trivisonno is 1235303801 and his current mailing address is Po Box 1119, Baker, Montana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235303801.

Contact Information

	Dominick Peter Trivisonno, MD
	202 South 4th Street West, Baker, MT 59313-1119
	(406) 778-2833
	(406) 778-5131

Physician's Profile

Full Name	Dominick Peter Trivisonno
Gender	Male
Speciality	General Practice
Location	202 South 4th Street West, Baker, Montana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1235303801
Provider Enumeration Date: 04/15/2008
Last Update Date: 01/30/2012

Medical Identifiers

Medical identifiers for Dominick Peter Trivisonno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235303801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	173465 (New York)	Primary
208D00000X	General Practice	11857 (Montana)	Secondary

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. Dominick Peter Trivisonno is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dominick Peter Trivisonno, MD Po Box 1119, Baker, MT 59313-1119 Ph: (406) 778-2833	Dominick Peter Trivisonno, MD 202 South 4th Street West, Baker, MT 59313-1119 Ph: (406) 778-2833

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General Practice Doctors in Baker, MT

Darryl M Espeland, DO
General Practice
Medicare: Medicare Enrolled
Practice Location: 202 South 4th Street West, Baker, MT 59313
Phone: 406-778-2833 Fax: 406-778-5131

Dominick Peter Trivisonno, MD - General Practice in Baker, MT