Edna Domino, APRN - Medicare Nurse Practitioner in Fort Myers, FL

Edna Domino, APRN is a medicare enrolled "Nurse Practitioner" physician in Fort Myers, Florida. Her current practice location is 3033 Winkler Ave Unit 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 277-7070.

Edna Domino is licensed to practice in Florida (license number APRN1649932) 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 1225026941.

Contact Information

Edna Domino, APRN
3033 Winkler Ave Unit 100,
Fort Myers, FL 33916-9523
(239) 277-7070
(239) 277-7071



Physician's Profile

Full NameEdna Domino
GenderFemale
SpecialityNurse Practitioner
Location3033 Winkler Ave Unit 100, Fort Myers, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225026941
  • Provider Enumeration Date: 10/06/2005
  • Last Update Date: 12/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022076298
  • Enrollment ID: I20041221000218

Medical Identifiers

Medical identifiers for Edna Domino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225026941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery ARNP1649932 (Florida)Secondary
363L00000XNurse Practitioner APRN1649932 (Florida)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. Edna Domino allows following entities to bill medicare on her behalf.
Entity NameGesiotto,henricks,kordonowy,and Simmons,mds,pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803590
PECOS PAC ID: 8123163912
Enrollment ID: O20100304000424

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Entity NameGardner Orthopedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841682705
PECOS PAC ID: 2668793332
Enrollment ID: O20150605002146

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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. Edna 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 AddressPractice Location Address
Edna Domino, APRN
3033 Winkler Ave Unit 100,
Fort Myers, FL 33916-9523

Ph: (239) 277-7070
Edna Domino, APRN
3033 Winkler Ave Unit 100,
Fort Myers, FL 33916-9523

Ph: (239) 277-7070

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