Dominique Dominguez, in Philadelphia, PA - Medicare Counselor Provider

Dominique Dominguez, is a medicare enrolled "Counselor - Mental Health" provider in Philadelphia, Pennsylvania. Her current practice location is 5043 Frankford Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 744-4343.

Dominique Dominguez is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083171862.

Contact Information

	Dominique Dominguez,
	5043 Frankford Ave, Philadelphia, PA 19124-2644
	(215) 744-4343
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dominique Dominguez
Gender	Female
Speciality	Counselor - Mental Health
Location	5043 Frankford Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083171862
Provider Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019

Medicare PECOS Information:

PECOS PAC ID: 8123555695
Enrollment ID: I20241222000059

Medical Identifiers

Medical identifiers for Dominique Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083171862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Dominique Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110

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. Dominique 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
Dominique Dominguez, 12203 Barbary Rd, Philadelphia, PA 19154-1801 Ph: () -	Dominique Dominguez, 5043 Frankford Ave, Philadelphia, PA 19124-2644 Ph: (215) 744-4343

Reviews and Comments

Counselor in Philadelphia, PA

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Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130
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Dominique Dominguez, - Medicare Counselor in Philadelphia, PA