Gabriel Jose Dominguez-pantoja, is a medicare enrolled "Emergency Medicine" physician in Altamonte Springs, Florida. He went to Baltimore Medical College and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Florida Emergency Physicians Kang And Associates Md Inc and his current practice location is
601 E Altamonte Dr, Altamonte Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 303-2200.
Gabriel Jose Dominguez-pantoja is licensed to practice in Florida (license number ME139214) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154784304.
Physician's Profile
Full Name | Gabriel Jose Dominguez-pantoja |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 8 Years |
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Location | 601 E Altamonte Dr, Altamonte Springs, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gabriel Jose Dominguez-pantoja attended and graduated from Baltimore Medical College in 2016
NPI Data:
- NPI Number: 1154784304
- Provider Enumeration Date: 04/04/2016
- Last Update Date: 06/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204169352
- Enrollment ID: I20190826000955
Medical Identifiers
Medical identifiers for Gabriel Jose Dominguez-pantoja such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154784304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | E-11820 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207P00000X | Emergency Medicine | ME139214 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Florida Emergency Physicians Kang And Associates Md Inc | 0143113878 | 251 |
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. Gabriel Jose Dominguez-pantoja allows following entities to bill medicare on his behalf.
Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
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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. Gabriel Jose Dominguez-pantoja 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 Address | Practice Location Address |
Gabriel Jose Dominguez-pantoja, 111 S Mckinley St Apt 4311, Little Rock, AR 72205-2069 Ph: (989) 429-3177 | Gabriel Jose Dominguez-pantoja, 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 Ph: (407) 303-2200 |
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