Ms Martha Dominguez, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in El Paso, Texas. She graduated from healthcare school in 1980 and has 46 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Centro De Salud Familiar La Fe, Inc. and her current practice location is
5959 Gateway Blvd W, Suite 501, El Paso, Texas. You can reach out to her office (for appointments etc.) via phone at
(915) 772-1829.
Ms Martha Dominguez is licensed to practice in Texas (license number 1249) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205943537.
Healthcare Provider's Profile
| Full Name | Ms Martha Dominguez |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 46 Years |
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| Location | 5959 Gateway Blvd W, El Paso, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Martha Dominguez graduated from medical school in 1980
NPI Data:
- NPI Number: 1205943537
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274616313
- Enrollment ID: I20080212000521
Medical Identifiers
Medical identifiers for Ms Martha Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205943537 | NPI | - | NPPES |
| 00S18W | Other | TX | BXBS |
| 1164899-03 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 3959 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1249 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centro De Salud Familiar La Fe, Inc. | 7315937448 | 19 |
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. Ms Martha Dominguez allows following entities to bill medicare on her behalf.
| Entity Name | Centro De Salud Familiar La Fe, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629040621
PECOS PAC ID: 7315937448
Enrollment ID: O20050125000164 |
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| Entity Name | Martha Dominguez Lcsw Lmft Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245968106
PECOS PAC ID: 2163805532
Enrollment ID: O20220817002423 |
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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. Ms Martha 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 |
|---|
Ms Martha Dominguez, LCSW, LMFT
5959 Gateway Blvd W Ste 570,
El Paso, TX 79925-3395
Ph: (915) 772-1829 | Ms Martha Dominguez, LCSW, LMFT
5959 Gateway Blvd W, Suite 501,
El Paso, TX 79925-3331
Ph: (915) 772-1829 |
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