Christopher Dominguez, LICENSED SOCIAL WORK is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Erie Family Health Center Inc and his current practice location is
1701 W Superior St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 666-3494.
Christopher Dominguez is licensed to practice in Illinois (license number 149.025775) 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 1831803444.
Healthcare Provider's Profile
| Full Name | Christopher Dominguez |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1701 W Superior St, Chicago, Illinois |
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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. |
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Medical Education and Training:
- Christopher Dominguez graduated from medical school in 2020
NPI Data:
- NPI Number: 1831803444
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476905548
- Enrollment ID: I20240115001221
Medical Identifiers
Medical identifiers for Christopher Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831803444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37399 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.025775 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Erie Family Health Center Inc | 9537050422 | 115 |
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. Christopher Dominguez allows following entities to bill medicare on his behalf.
| Entity Name | Erie Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760499545
PECOS PAC ID: 9537050422
Enrollment ID: O20040322000689 |
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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. Christopher Dominguez 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 |
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Christopher Dominguez, LICENSED SOCIAL WORK
2747 S Avers Ave,
Chicago, IL 60623-4510
Ph: (708) 336-9208 | Christopher Dominguez, LICENSED SOCIAL WORK
1701 W Superior St,
Chicago, IL 60622-5646
Ph: (312) 666-3494 |
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