Kelly M Dominic, LMFT - Medicare Couples Therapy in Lancaster, OH

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Kelly M Dominic, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lancaster, Ohio. Her current practice location is 408 N Columbus St, Lancaster, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 206-8659.

Kelly M Dominic is licensed to practice in Ohio (license number F.2200291) 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 1073007985.

Contact Information

Kelly M Dominic, LMFT
408 N Columbus St,
Lancaster, OH 43130-3033
(740) 206-8659
(614) 437-2580

Map and Direction


Healthcare Provider's Profile

Full NameKelly M Dominic
GenderFemale
SpecialityMarriage & Family Therapist
Location408 N Columbus St, Lancaster, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073007985
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 04/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3375987050
  • Enrollment ID: I20240221002316

Medical Identifiers

Medical identifiers for Kelly M Dominic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073007985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist F.2200291 (Ohio)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. Kelly M Dominic allows following entities to bill medicare on her behalf.
Entity NameOhioguidestone
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507

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. Kelly M Dominic 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 AddressPractice Location Address
Kelly M Dominic, LMFT
10955 Clearport Rd Sw,
Amanda, OH 43102-9612

Ph: (330) 730-9511		Kelly M Dominic, LMFT
408 N Columbus St,
Lancaster, OH 43130-3033

Ph: (740) 206-8659

Reviews and Comments


Marriage & Family Therapist in Lancaster, OH

Mr. Arvin Bell Iii,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 408 N Columbus St, Lancaster, OH 43130
Phone: 740-206-8659    
Rebecca Flowers Schamess, MFTT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Broad St, Lancaster, OH 43130
Phone: 440-260-8300    
Lauren Burgess, MFT-T
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 337 E Main St, Lancaster, OH 43130
Phone: 740-365-0500    
Jill C Niswonger, MFTT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 111 S Broad St, Lancaster, OH 43130
Phone: 440-260-8300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.