Miguel Dominguez Camacho, MD is a medicare enrolled "Family Medicine" physician in Guadalupe, California. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Health Centers Of The Central Coast Inc and his current practice location is
4581 10th St, Suite C, Guadalupe, California. You can reach out to his office (for appointments etc.) via phone at
(805) 343-5577.
Miguel Dominguez Camacho is licensed to practice in California (license number A53541) 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 1093746364.
Physician's Profile
Full Name | Miguel Dominguez Camacho |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 40 Years |
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Location | 4581 10th St, Guadalupe, California |
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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:
- Miguel Dominguez Camacho graduated from medical school in 1984
NPI Data:
- NPI Number: 1093746364
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 04/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870515471
- Enrollment ID: I20051223000159
Medical Identifiers
Medical identifiers for Miguel Dominguez Camacho such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093746364 | NPI | - | NPPES |
HAP70986F | Other | CA | FAMILY PACK |
CJ5474 | Other | CA | MEDICARE RAILROAD GROUP PTAN # |
P00725474 | Other | CA | MEDICARE RAILROAD GROUP MEMBER PTAN# |
00A535410 | Medicaid | CA | |
FHC70986F | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A53541 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Health Centers Of The Central Coast Inc | 7416868120 | 53 |
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. Miguel Dominguez Camacho allows following entities to bill medicare on his behalf.
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
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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. Miguel Dominguez Camacho 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 |
Miguel Dominguez Camacho, MD 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Miguel Dominguez Camacho, MD 4581 10th St, Suite C, Guadalupe, CA 93434-1454 Ph: (805) 343-5577 |
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