Dr Eugene Domenico, PHD LCSW in Lockport, NY - Medicare Counselor Provider

Dr Eugene Domenico, PHD LCSW is a medicare enrolled "Counselor - Mental Health" provider in Lockport, New York. His current practice location is Market Street, Bewley Building Suite #437, Lockport, New York. You can reach out to his office (for appointments etc.) via phone at (716) 438-2436.

Dr Eugene Domenico is licensed to practice in New York (license number 034738-1) 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 1679608103.

Contact Information

	Dr Eugene Domenico, PHD LCSW
	Market Street, Bewley Building Suite #437, Lockport, NY 14094
	(716) 438-2436
	(716) 438-2435

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eugene Domenico
Gender	Male
Speciality	Counselor - Mental Health
Location	Market Street, Lockport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679608103
Provider Enumeration Date: 02/23/2007
Last Update Date: 12/16/2009

Medicare PECOS Information:

PECOS PAC ID: 8628163987
Enrollment ID: I20071002000028

Medical Identifiers

Medical identifiers for Dr Eugene Domenico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679608103	NPI	-	NPPES
00020255501	Other	NY	UNIVERA
000511600005	Other	NY	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	034738-1 (New York)	Primary
1041C0700X	Social Worker - Clinical	034738-1 (New York)	Secondary
103T00000X	Psychologist	034738-1 (New York)	Secondary

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. Dr Eugene Domenico 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
Dr Eugene Domenico, PHD LCSW Market Street, Bewley Building Suite #437, Lockport, NY 14094 Ph: (716) 438-2436	Dr Eugene Domenico, PHD LCSW Market Street, Bewley Building Suite #437, Lockport, NY 14094 Ph: (716) 438-2436

Reviews and Comments

Counselor in Lockport, NY

Chelsea Plescia, Counselor Medicare: Medicare Enrolled Practice Location: 637 Davison Rd, Lockport, NY 14094 Phone: 716-433-2484
Alix Hutchison, Counselor Medicare: Medicare Enrolled Practice Location: 637 Davison Rd, Lockport, NY 14094 Phone: 716-833-2484
Ryan Thomas Rondinaro, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 637 Davison Rd, Lockport, NY 14094 Phone: 716-433-2484
Savannah Lynn Magrath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Main St Ste 18, Lockport, NY 14094 Phone: 716-433-3846
Kristi Dierolf, Counselor Medicare: Medicare Enrolled Practice Location: 5467 Upper Mountain Road, Lockport, NY 14094 Phone: 716-439-7410
Jamie Nixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 637 Davison Rd, Lockport, NY 14094 Phone: 716-433-2484
Dr. Margaret Donohue, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6395 Old Niagara Rd, Lockport, NY 14094 Phone: 716-880-6076 Fax: 716-439-5266

Dr Eugene Domenico, PHD LCSW - Medicare Counselor in Lockport, NY