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Dawn Domenech in Lake Havasu City, Arizona

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Dawn Domenech has Nurse Practitioner as her primary medical specialty. Their primary office is: 1951 Mesquite Ave in Lake Havasu City, Arizona. There is an additional office location, for a total of two, for Dawn Domenech that can be viewed further down.

They're a part of the: Acacia Family Practice Group Of Lake Havasu, Inc medical group which has around 2 members. You can call their office at 928-257-4205 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2015 (around 9 years of experience). They are listed as doing telehealth appointments.


Dawn J Domenech Office Phone and Directions

Dawn Domenech
Acacia Family Practice Group Of Lake Havasu, Inc
1951 Mesquite Ave
Lake Havasu City, Arizona 86403
928-257-4205


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Phone: 928-257-4205


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Healthcare Info for Dawn Domenech

Medical School: Sorry, her university is not listed
Graduation Year: 2015
The Primary Medical Specialty for Dawn Domenech is listed as: Nurse Practitioner
Approximate Years of Experience: 9
PAC (PECOS ID)#: 2163728916
NPI #: 1093171456
NPI Created On: 01/14/2016
NPI Last Updated Listed as: 08/17/2022
Primary Taxonomy Code: 363LA2200X
License Number:
TAP8363
Listed Gender: Female

Procedures, Services, Charges


Services and Procedures include:

  1. Insertion of needle into vein for collection of blood sample
  2. New patient office or other outpatient visit, typically 30 minutes
  3. New patient office or other outpatient visit, typically 45 minutes
  4. Established patient office or other outpatient visit, typically 5 minutes
  5. Established patient office or other outpatient visit, typically 15 minutes
  6. Established patient office or other outpatient, visit typically 25 minutes
  7. Physician telephone patient service, 11-20 minutes of medical discussion

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $30

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818854505

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neuroscience

Name of Drug #1: EMGALITY

Open Associated Drug #1: 0002-1436-11

Drug or Biological: Drug

Product Category #2: Neuroscience

Name Of Drug #2:: REYVOW

Associated Drug #2: 0002-4491-08


Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 810850399

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $100

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 810851149

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: RYBELSUS

Open Associated Drug #1: 0169-4303-13


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811005771

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $23

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811285293

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $21

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Third party is a Charity:: No

Record ID:: 817861437

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neurology

Name of Drug #1: Dayvigo

Open Associated Drug #1: 62856-405-30


Payments Total: $20

Number of Payments:: 1

Form of Payment: Cash or cash equivalent

Third party is a Charity:: No

Record ID:: 818053939

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neurology

Name of Drug #1: Dayvigo

Open Associated Drug #1: 62856-405-30


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 789072231

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardio-renal

Name of Drug #1: Kerendia

Open Associated Drug #1: 50419-540-01


Payments Total: $11

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 789134099

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardio-renal

Name of Drug #1: Kerendia

Open Associated Drug #1: 50419-540-01


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 852709605

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: PRIMARY CARE

Name of Drug #1: NURTEC ODT

Open Associated Drug #1: 72618-3000-2


Additional Office Locations

1. Acacia Family Practice Group, Inc.
888 W 16th St
Yuma, AZ 85364
Group Members: 2

Phone: 928-257-4205

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Nurse Practitioner Professionals in Lake Havasu City

2187 Swanson Ave
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Lakeside Orthopedic Institute Llc

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Sunrise Family Healthcare Inc

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Thomas Dermatology

297 Lake Havasu Ave S
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Fps Medical Center Ltd

Providers in Acacia Family Practice Group Of Lake Havasu, Inc

1.Dawn Domenech

1951 Mesquite Ave
Lake Havasu City Az 86403-5746
Acacia Family Practice Group Of Lake Havasu, Inc
Nurse Practitioner

2.Sherri Payne

1951 Mesquite Ave
Lake Havasu City Az 86403-5746
Acacia Family Practice Group Of Lake Havasu, Inc
Nurse Practitioner

View all 2 members of Acacia Family Practice Group Of Lake Havasu, Inc medical group