Dr Jason Glenn Domina, MD - Medicare Diagnostic Radiology in Mchenry, IL

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Dr Jason Glenn Domina, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mchenry, Illinois. He went to Wayne State University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Barbara Ann Karmanos Cancer Institute, Baptist Health Medical Group Inc and his current practice location is 4201 W Medical Center Dr, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 334-5566.

Dr Jason Glenn Domina is licensed to practice in Illinois (license number 036159775) 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 1952530974.

Contact Information

Dr Jason Glenn Domina, MD
4201 W Medical Center Dr,
Mchenry, IL 60050-8409
(815) 334-5566
(815) 759-4008

Map and Direction




Physician's Profile

Full NameDr Jason Glenn Domina
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location4201 W Medical Center Dr, Mchenry, Illinois
Accepts Medicare AssignmentsYes. 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 Jason Glenn Domina attended and graduated from Wayne State University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1952530974
  • Provider Enumeration Date: 07/12/2009
  • Last Update Date: 11/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395961981
  • Enrollment ID: I20140716001430

Medical Identifiers

Medical identifiers for Dr Jason Glenn Domina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952530974NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301094862 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 036159775 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Karmanos Cancer CenterDetroit, MIHospital
Mclaren Northern MichiganPetoskey, MIHospital
Mclaren Bay RegionBay city, MIHospital
Mclaren Central MichiganMount pleasant, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barbara Ann Karmanos Cancer Institute387040790149
Baptist Health Medical Group Inc55978671842132

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 Jason Glenn Domina allows following entities to bill medicare on his behalf.
Entity NameMclaren Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346396066
PECOS PAC ID: 3971416082
Enrollment ID: O20031106000025
Entity NameBarbara Ann Karmanos Cancer Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225022288
PECOS PAC ID: 3870407901
Enrollment ID: O20031113000601
Entity NameGarden City Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336612084
PECOS PAC ID: 6406194323
Enrollment ID: O20190219000085

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 Jason Glenn Domina 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
Dr Jason Glenn Domina, MD
4201 W Medical Center Dr,
Mchenry, IL 60050-8409

Ph: (815) 334-5566		Dr Jason Glenn Domina, MD
4201 W Medical Center Dr,
Mchenry, IL 60050-8409

Ph: (815) 334-5566

Reviews and Comments


Radiology Doctors in Mchenry, IL

Ernest A Conti, MD
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Abhijit Patil,
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Milton W Hummel, M.D.
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Dr. Aaron Wittenberg, M.D.
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Balatripura Voruganti, M.D.
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Phone: 815-334-5566    Fax: 815-759-4008
Michael J. Flaherty, M.D.
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Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050
Phone: 815-334-5566    Fax: 815-759-4008

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.