Dominick Trinca, M.D.
Individual provider Active NPI General Practice Physician · Mound Bayou, MS
NPI 1285886465 · NPPES record last updated Jul 14, 2022
Key facts
- NPI
- 1285886465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 14017 (MS)
- Practice address
- 702 Martin Luther King St
Mound Bayou, MS 38762-9314 - Phone
- (662) 741-8800
- Fax
- (662) 741-2700
- NPI assigned
- Oct 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delta Health Center, Inc.
Practice addresses (Care Compare)
100 E Washington St
DHC Hollandale
Hollandale, MS 38748-3842
Phone (662) 827-7400
Hospital & facility affiliations
- Delta Health System - the Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090616000274 | MS | Practitioner - General Practice |
6901956804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14017 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Health Center Inc | Current | Accepting new patients | |
| Delta Health Center, Inc. | Past | Accepting new patients |
Locations
548 Rosemary Rd
Cleveland, MS 38732
Phone (662) 741-8880
400 South Blvd
Drew, MS 38737
Phone (662) 745-8892
1414 Hospital St
Greenville, MS 38703
Phone (662) 335-3991
2363 Highway 1 S
Greenville, MS 38701
Phone (662) 334-1253
118 Front Ave
Indianola, MS 38751
Phone (662) 741-2151
302 College Ave
Indianola, MS 38751
Phone (662) 331-8894
404 Jefferson St
Indianola, MS 38751
Phone (662) 884-1250
14000 Highway 82 W
Itta Bena, MS 38941
Phone (334) 357-1543
801 N Broad St
Leland, MS 38756
Phone (662) 686-0295
598 Ingram St
Moorhead, MS 38761
Phone (662) 246-8028
506 W Washington St
Moorhead, MS 38761
Phone (662) 246-5680
702 Martin Luther King St
#702
Mound Bayou, MS 38762
702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151
20400 Highway 61
Rolling Fork, MS 39159
Phone (662) 741-2151
Interoperability endpoints
- dominick.trinca.p1@direct.deltahc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14017 | MS | Yes |
Addresses
Primary practice location
702 Martin Luther King St
Mound Bayou, MS 38762-9314
Mailing address
702 Martin Luther King St
Mound Bayou, MS 38762-9314
Phone (662) 741-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053550236 | Other | MS | MEDICARE NPI |
Other providers in Mound Bayou, MS
- Alyssa Lott Simmons
- Taborian Urgent Care Center Project Inc.
- The Essential Nurses PLLC
- Anne Marie Towles
- Tri-Sight Counseling Services
- Warren Inge Dental Clinic
- Amee Renee West
- Kirsten Westerfield
- Barbara H Williams
- Daffany Williams
All providers in Mound Bayou, MS · General Practice Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.