Dr Lisette Dominguez, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Circleville, Ohio. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Ohiohealth Corporation and her current practice location is
600 N Pickaway St Ste 200, Circleville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 533-5500.
Dr Lisette Dominguez is licensed to practice in Ohio (license number 34.017288) 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 1578023842.
Physician's Profile
| Full Name | Dr Lisette Dominguez |
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| Gender | Female |
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| Speciality | Neurology |
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| Experience | 7 Years |
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| Location | 600 N Pickaway St Ste 200, Circleville, Ohio |
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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. |
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Medical Education and Training:
- Dr Lisette Dominguez graduated from medical school in 2019
NPI Data:
- NPI Number: 1578023842
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012242654
- Enrollment ID: I20240823001526
Medical Identifiers
Medical identifiers for Dr Lisette Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578023842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | UO6775 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | UO6775 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | OS17146 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 34.017288 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohiohealth Corporation | 6305758426 | 2085 |
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 Lisette Dominguez allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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 Lisette 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 |
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Dr Lisette Dominguez, DO
Po Box 7527,
Dublin, OH 43017-0727
Ph: () - | Dr Lisette Dominguez, DO
600 N Pickaway St Ste 200,
Circleville, OH 43113-1447
Ph: (614) 533-5500 |
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