Jared Dominguez, LMFT in Beaverton, OR - Medicare Marriage & Family Therapist Provider

Jared Dominguez, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Beaverton, Oregon. His current practice location is 8285 Sw Nimbus Ave Ste 130, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 610-2044.

Jared Dominguez is licensed to practice in Oregon (license number T2309) 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 1760032924.

Contact Information

	Jared Dominguez, LMFT
	8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428
	(503) 610-2044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Dominguez
Gender	Male
Speciality	Marriage & Family Therapist
Location	8285 Sw Nimbus Ave Ste 130, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760032924
Provider Enumeration Date: 09/18/2019
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4082057559
Enrollment ID: I20240212003343

Medical Identifiers

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

Identifier	Type	State	Issuer
1760032924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	T2309 (Oregon)	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. Jared Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Psychological Services Connection Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275260465 PECOS PAC ID: 7416317789 Enrollment ID: O20230718002835

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. Jared 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
Jared Dominguez, LMFT 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428 Ph: (503) 610-2044	Jared Dominguez, LMFT 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428 Ph: (503) 610-2044

Reviews and Comments

Marriage & Family Therapist in Beaverton, OR

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Jared Dominguez, LMFT - Medicare Couples Therapy in Beaverton, OR