Dr Mary Ann R Domingo, MD in Granger, IN

Dr Mary Ann R Domingo, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Granger, Indiana. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 6901 N Main St Ste 102, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-4500.

Dr Mary Ann R Domingo is licensed to practice in Indiana (license number 01061323A) 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 1053396127.

Contact Information

	Dr Mary Ann R Domingo, MD
	6901 N Main St Ste 102, Granger, IN 46530-8022
	(574) 647-4500
	(574) 647-6354

Map and Direction

Physician's Profile

Full Name	Dr Mary Ann R Domingo
Gender	Female
Speciality	Rheumatology
Experience	30 Years
Location	6901 N Main St Ste 102, Granger, Indiana
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 Mary Ann R Domingo graduated from medical school in 1994

NPI Data:

NPI Number: 1053396127
Provider Enumeration Date: 12/13/2005
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9335160068
Enrollment ID: I20051209000396

Medical Identifiers

Medical identifiers for Dr Mary Ann R Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053396127	NPI	-	NPPES
000000803598	Other	IN	BCBS MAIN STREET
200537970	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	01061323A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital
Community Hospital Of Bremen Inc	Bremen, IN	Hospital
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital
La Porte Hospital	La porte, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	452

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 Mary Ann R Domingo allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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 Mary Ann R Domingo 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 Mary Ann R Domingo, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Dr Mary Ann R Domingo, MD 6901 N Main St Ste 102, Granger, IN 46530-8022 Ph: (574) 647-4500

Reviews and Comments

Internal Medicine Doctors in Granger, IN

Dr. Nicholas Ralph Straniero, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4310
Dr. George Youssef, Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 5610 Town Center Drive #14, Granger, IN 46530 Phone: 718-715-2325
Rita Schmid, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-271-0700 Fax: 574-273-5648
Dr. Ngan Thi Van, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St Ste 300, Granger, IN 46530 Phone: 574-647-1500 Fax: 574-243-4310
Dr. Natali M Balog, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6901 N Main St Ste 102, Granger, IN 46530 Phone: 574-647-4500 Fax: 574-647-6354
Dr. Kiran Rawat Singh, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-204-7050 Fax: 574-204-7051

Dr Mary Ann R Domingo, MD - Medicare Rheumatology in Granger, IN