Dominique Mekkam, MD is a medicare enrolled "Family Medicine" physician in Ft. Mitchell, Kentucky. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summit Medical Group Inc and her current practice location is
2300 Chamber Center Dr, Ft. Mitchell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 341-3114.
Dominique Mekkam is licensed to practice in Kentucky (license number 58818) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760155873.
Physician's Profile
| Full Name | Dominique Mekkam |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 2300 Chamber Center Dr, Ft. Mitchell, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dominique Mekkam graduated from medical school in 2020
NPI Data:
- NPI Number: 1760155873
- Provider Enumeration Date: 07/26/2021
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355744129
- Enrollment ID: I20240827002822
Medical Identifiers
Medical identifiers for Dominique Mekkam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760155873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 58818 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Summit Medical Group Inc | 2163326240 | 756 |
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. Dominique Mekkam allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
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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. Dominique Mekkam 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 |
Dominique Mekkam, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 341-3114 | Dominique Mekkam, MD 2300 Chamber Center Dr, Ft. Mitchell, KY 41017-1686 Ph: (859) 341-3114 |
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