| Dr Kelly Domson, MD | |
|
500 Hospital Drive, Warrenton, VA 20186 | |
| (703) 257-1440 | |
| (703) 257-4337 |
| Full Name | Dr Kelly Domson |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 500 Hospital Drive, Warrenton, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760408066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101051240 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fauquier Hospital | Warrenton, VA | Hospital |
| Reston Hospital Center | Reston, VA | Hospital |
| Stonesprings Hospital Center | Dulles, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forward Pathology Solutions, Llc | 2668703109 | 26 |
| Pathfinder Diagnostics | 1456425024 | 3 |
| Entity Name | Pathfinder Diagnostics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962697037 PECOS PAC ID: 1456425024 Enrollment ID: O20080730000478 |
| Entity Name | Forward Pathology Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982266391 PECOS PAC ID: 2668703109 Enrollment ID: O20191014002724 |
| 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 |
Lynn H Samuel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 493 Blackwell Rd, Suite 101a, Warrenton, VA 20186 Phone: 540-316-5604 Fax: 540-316-5601 | |
Dr. Elizabeth Stone Martin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 703-391-3654 Fax: 703-391-3049 |