| Dr Jeremy Peter Domanski, MD | |
|
1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | |
| (434) 447-3151 | |
| (434) 584-6019 |
| Full Name | Dr Jeremy Peter Domanski |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 21 Years |
| Location | 1755 N Mecklenburg Ave, South Hill, Virginia |
| 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 |
|---|---|---|---|
| 1083691356 | NPI | - | NPPES |
| 1083691356 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101259433 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1784 |
| Gastroenterology Associates Va, Llc | 2466449228 | 51 |
| Entity Name | Gastroenterology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518990472 PECOS PAC ID: 2466449228 Enrollment ID: O20040426001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Peter Domanski, MD Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844 | Dr Jeremy Peter Domanski, MD 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 Ph: (434) 447-3151 |
Sindhuja Koppu, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-3151 | |
Linda P Powers, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 514 W Atlantic St, South Hill, VA 23970 Phone: 434-447-6969 Fax: 434-447-2240 | |
Dr. Herbert Allen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 500 N Thomas St, South Hill, VA 23970 Phone: 434-447-2300 Fax: 434-447-2377 | |
Muhammad Wahdan Naseeb, M.B.B.S. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-3151 Fax: 434-584-5023 | |
Dr. Mohammad Khalid Mojadidi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-7765 Fax: 434-447-4011 | |
Nemer Junior El Mouallem, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 750 Lombardy St, South Hill, VA 23970 Phone: 434-774-2417 Fax: 434-774-2446 |