| Charles L Domson Ii, MD | |
|
212 N 2nd St, Leesburg, FL 34748-5103 | |
| (352) 435-0723 | |
| (352) 435-0724 |
| Full Name | Charles L Domson Ii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 212 N 2nd St, Leesburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841281557 | NPI | - | NPPES |
| 256714802 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME73019 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spinecare Associates, Llc | 5496649493 | 11 |
| Entity Name | Spinecare Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184695694 PECOS PAC ID: 5496649493 Enrollment ID: O20040211000179 |
| Entity Name | Vymed Diagnostic Imaging Tampa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770579732 PECOS PAC ID: 8426006834 Enrollment ID: O20120507000682 |
| Entity Name | Professional Radiology Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962521294 PECOS PAC ID: 1153585047 Enrollment ID: O20120605000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Domson Ii, MD 212 N 2nd St, Leesburg, FL 34748-5103 Ph: (352) 435-0723 | Charles L Domson Ii, MD 212 N 2nd St, Leesburg, FL 34748-5103 Ph: (352) 435-0723 |
Brittany Kristen Nagy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave Ste 104, Leesburg, FL 34748 Phone: 352-787-5858 Fax: 352-728-6749 | |
Dr. Keith Kastelic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Ste 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Dr. Michael S Levine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Michael P O'neill, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 212 N 2nd St, Leesburg, FL 34748 Phone: 352-435-0723 | |
Dr. Amir Ali Hameedi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 | |
Dr. Cathrine Elena Keller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 | |
Dr. Manoj Bhatia, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave, Suite 104, Leesburg, FL 34748 Phone: 352-365-2583 Fax: 352-728-6749 |