Miss Domonique Jade Grothause, PA-C - Medicare Physician Assistant in Westerville, OH

Miss Domonique Jade Grothause, PA-C is a medicare enrolled "Physician Assistant" in Westerville, Ohio. Her current practice location is 340 Polaris Pkwy, Westerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 839-2300.

Miss Domonique Jade Grothause is licensed to practice in Ohio (license number 50.007865RX) 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 1245955848.

Contact Information

Miss Domonique Jade Grothause, PA-C
340 Polaris Pkwy,
Westerville, OH 43082-7971
(614) 839-2300
(614) 839-2301



Provider's Profile

Full NameMiss Domonique Jade Grothause
GenderFemale
SpecialityPhysician Assistant
Location340 Polaris Pkwy, Westerville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245955848
  • Provider Enumeration Date: 10/05/2022
  • Last Update Date: 01/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133597776
  • Enrollment ID: I20221201002291

Medical Identifiers

Medical identifiers for Miss Domonique Jade Grothause such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245955848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.007865RX (Ohio)Primary

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. Miss Domonique Jade Grothause 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
Miss Domonique Jade Grothause, PA-C
Po Box 920120,
Dallas, TX 75392-0120

Ph: () -
Miss Domonique Jade Grothause, PA-C
340 Polaris Pkwy,
Westerville, OH 43082-7971

Ph: (614) 839-2300

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Physician Assistant Nurses in Westerville, OH

Wade Walnoha, P.A.-C.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Cleveland Ave, Westerville, OH 43081
Phone: 614-794-0481    Fax: 614-794-3711
Troy Magaw, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 S Cleveland Ave, Westerville, OH 43081
Phone: 614-794-0481    Fax: 614-794-3711
Cameron Powell, P.A.-C.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 500 S Cleveland Ave, Westerville, OH 43081
Phone: 614-794-0481    Fax: 614-794-3711
Ms. Ivonne Viridiana Perez Cardona, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 550 S Cleveland Ave Ste C, Westerville, OH 43081
Phone: 614-898-9410    
Kimberly Smith,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 655 Africa Rd, Westerville, OH 43082
Phone: 614-326-2672    Fax: 614-326-3293
Nicole Valentine,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 655 Africa Rd, Westerville, OH 43082
Phone: 614-326-2672    
Maxwell Benjamin Couch, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 444 N Cleveland Ave Ste 130, Westerville, OH 43082
Phone: 614-839-1118    

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