Dr David E Dominguez, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Indialantic, Florida. He went to Duke University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice 3d Sports Medicine And Joint Center, Inc. and his current practice location is
141 Coconut Dr, Indialantic, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 610-8939.
Dr David E Dominguez is licensed to practice in Florida (license number ME110378) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467694521.
Physician's Profile
Full Name | Dr David E Dominguez |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 18 Years |
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Location | 141 Coconut Dr, Indialantic, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr David E Dominguez attended and graduated from Duke University School Of Medicine in 2006
NPI Data:
- NPI Number: 1467694521
- Provider Enumeration Date: 04/03/2009
- Last Update Date: 12/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537339056
- Enrollment ID: I20110818000866
Medical Identifiers
Medical identifiers for Dr David E Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467694521 | NPI | - | NPPES |
003772300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | ME110378 (Florida) | Secondary |
2086S0127X | Surgery - Trauma Surgery | ME110378 (Florida) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | ME110378 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
3d Sports Medicine And Joint Center, Inc. | 3173846110 | 3 |
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. Dr David E Dominguez allows following entities to bill medicare on his behalf.
Entity Name | 3d Sports Medicine & Joint Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316351372 PECOS PAC ID: 3173846110 Enrollment ID: O20141229000141 |
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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. Dr David E 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 |
Dr David E Dominguez, MD 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-8939 | Dr David E Dominguez, MD 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-8939 |
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