Fernando B Domondon Jr, MD - Medicare Emergency Medicine in Orchard Park, NY

Fernando B Domondon Jr, MD is a medicare enrolled "Emergency Medicine" physician in Orchard Park, New York. His current practice location is S 3669 Southwestern Blvd, Mercy Ambulatory Care Center, Orchard Park, New York. You can reach out to his office (for appointments etc.) via phone at (716) 204-4500.

Fernando B Domondon Jr is licensed to practice in New York (license number 196197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013969492.

Contact Information

Fernando B Domondon Jr, MD
S 3669 Southwestern Blvd, Mercy Ambulatory Care Center,
Orchard Park, NY 14127
(716) 204-4500
(716) 204-4501

Map and Direction




Physician's Profile

Full NameFernando B Domondon Jr
GenderMale
SpecialityEmergency Medicine
LocationS 3669 Southwestern Blvd, Orchard Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013969492
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325177439
  • Enrollment ID: I20100528000218

Medical Identifiers

Medical identifiers for Fernando B Domondon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013969492NPI-NPPES
01610939MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 196197-1 (New York)Secondary
207P00000XEmergency Medicine 196197 (New York)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. Fernando B Domondon Jr allows following entities to bill medicare on his behalf.
Entity NameBuffalo Emergency Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508816521
PECOS PAC ID: 4981502515
Enrollment ID: O20031222000057
Entity NameWestern New York Immediate Medical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316014491
PECOS PAC ID: 9537105283
Enrollment ID: O20050701000872

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. Fernando B Domondon Jr 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
Fernando B Domondon Jr, MD
6653 Main St,
Williamsville, NY 14221-5906

Ph: (716) 204-4500
Fernando B Domondon Jr, MD
S 3669 Southwestern Blvd, Mercy Ambulatory Care Center,
Orchard Park, NY 14127

Ph: (716) 204-4500

Reviews and Comments


Emergency Medicine Doctors in Orchard Park, NY

Milton L Pozo, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127
Phone: 716-821-4513    
Thomas M Kowalak, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127
Phone: 716-688-2154    Fax: 716-204-4501
Dr. Michael Thomas Mangione Jr., D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127
Phone: 716-821-4513    
Liane Catherine Kirchberger, PA
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127
Phone: 716-656-4988    Fax: 716-817-1719
Dr. Joshua Jeremiah Lynch, DO, EMT-P
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127
Phone: 716-677-2575    Fax: 716-677-2576
Dr. Teresa M. Ainsworth, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3176 Abbott Rd Unit 500, Orchard Park, NY 14127
Phone: 716-822-2117    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.