Dr Kelly Domson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Warrenton, Virginia. She went to University Of Virginia School Of Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Pathfinder Diagnostics and her current practice location is
500 Hospital Drive, Warrenton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 257-1440.
Dr Kelly Domson is licensed to practice in Virginia (license number 0101051240) 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 1760408066.
Physician's Profile
| Full Name | Dr Kelly Domson |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 32 Years |
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| Location | 500 Hospital Drive, Warrenton, Virginia |
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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:
- Dr Kelly Domson attended and graduated from University Of Virginia School Of Medicine in 1993
NPI Data:
- NPI Number: 1760408066
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 04/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183801319
- Enrollment ID: I20140203000299
Medical Identifiers
Medical identifiers for Dr Kelly Domson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760408066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101051240 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Pathfinder Diagnostics | 1456425024 | 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 Kelly Domson allows following entities to bill medicare on her behalf.
| Entity Name | Pathfinder Diagnostics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962697037 PECOS PAC ID: 1456425024 Enrollment ID: O20080730000478 |
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| Entity Name | Forward Pathology Solutions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982266391 PECOS PAC ID: 2668703109 Enrollment ID: O20191014002724 |
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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 Kelly Domson 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 Kelly Domson, MD 9834 Business Way, Manassas, VA 20110 Ph: (703) 257-1440 | Dr Kelly Domson, MD 500 Hospital Drive, Warrenton, VA 20186 Ph: (703) 257-1440 |
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