Dr Marie A Dominguez, MD - Medicare Hospitalist in West Bend, WI

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Dr Marie A Dominguez, MD is a medicare enrolled "Hospitalist" physician in West Bend, Wisconsin. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1992 and has 34 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Frances Mahon Deaconess Hospital and her current practice location is 1100 Gateway Ct, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 335-8600.

Dr Marie A Dominguez is licensed to practice in Wisconsin (license number 68577) 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 1952312886.

Contact Information

Dr Marie A Dominguez, MD
1100 Gateway Ct,
West Bend, WI 53095-8539
(262) 335-8600
Not Available

Map and Direction




Physician's Profile

Full NameDr Marie A Dominguez
GenderFemale
SpecialityHospitalist
Experience34 Years
Location1100 Gateway Ct, West Bend, Wisconsin
Accepts Medicare AssignmentsYes. 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 Marie A Dominguez attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1992
  NPI Data:
  • NPI Number: 1952312886
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 04/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5193085256
  • Enrollment ID: I20210630002437

Medical Identifiers

Medical identifiers for Dr Marie A Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952312886NPI-NPPES
100074618MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 68577 (Wisconsin)Secondary
208M00000XHospitalist 68577 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Frances Mahon Deaconess HospitalGlasgow, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Frances Mahon Deaconess Hospital317343094937

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 Marie A Dominguez allows following entities to bill medicare on her behalf.
Entity NameFrances Mahon Deaconess Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639117013
PECOS PAC ID: 3173430949
Enrollment ID: O20031111000918
Entity NameSt Peters Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205025145
PECOS PAC ID: 7911814926
Enrollment ID: O20031204001245

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 Marie A 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 AddressPractice Location Address
Dr Marie A Dominguez, MD
1100 Gateway Ct,
West Bend, WI 53095-8539

Ph: (262) 335-8600		Dr Marie A Dominguez, MD
1100 Gateway Ct,
West Bend, WI 53095-8539

Ph: (262) 335-8600

Reviews and Comments


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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.