Dr Nicole Rachel Dominiak, MD in Toledo, OH

Dr Nicole Rachel Dominiak, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Toledo, Ohio. She went to University Of Toledo College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Consultants In Laboratory Medicine Of Greater Toledo, University Of Toledo Physicians Llc, Consultants In Laboratory Medicine Of Greater Toledo and her current practice location is 3000 Arlington Ave, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 383-3472.

Dr Nicole Rachel Dominiak is licensed to practice in Ohio (license number 35.131515) 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 1417210261.

Contact Information

	Dr Nicole Rachel Dominiak, MD
	3000 Arlington Ave, Toledo, OH 43614-2595
	(419) 383-3472
	(419) 383-6130

Map and Direction

Physician's Profile

Full Name	Dr Nicole Rachel Dominiak
Gender	Female
Speciality	Pathology
Experience	12 Years
Location	3000 Arlington Ave, Toledo, Ohio
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 Nicole Rachel Dominiak attended and graduated from University Of Toledo College Of Medicine in 2012

NPI Data:

NPI Number: 1417210261
Provider Enumeration Date: 06/18/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5092014555
Enrollment ID: I20170808002943

Medical Identifiers

Medical identifiers for Dr Nicole Rachel Dominiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417210261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	35.131515 (Ohio)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	LL 34849 (South Carolina)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	35.131515 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital
University Of Toledo Medical Center	Toledo, OH	Hospital
Promedica Defiance Regional Hospital	Defiance, OH	Hospital
Memorial Hospital	Fremont, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Consultants In Laboratory Medicine Of Greater Toledo	2860474459	18
University Of Toledo Physicians Llc	8729983416	315
Consultants In Laboratory Medicine Of Greater Toledo	2860474459	18

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 Nicole Rachel Dominiak allows following entities to bill medicare on her behalf.

Entity Name	University Of Toledo Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019

Entity Name	Consultants In Laboratory Medicine Of Greater Toledo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982673372 PECOS PAC ID: 2860474459 Enrollment ID: O20040607000642

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 Nicole Rachel Dominiak 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 Nicole Rachel Dominiak, MD 3355 Glendale Ave., 3rd Floor, Toledo, OH 43614-2426 Ph: (419) 383-7100	Dr Nicole Rachel Dominiak, MD 3000 Arlington Ave, Toledo, OH 43614-2595 Ph: (419) 383-3472

Reviews and Comments

Pathology Doctors in Toledo, OH

Dr. Robert L Booth Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3472 Fax: 419-383-6130
Jill Lynn Zyrek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3470 Fax: 419-383-6130
Leonard H Madoff, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2222 Cherry St, Toledo, OH 43608 Phone: 419-251-4534
Nicole Ann Hubbard, MD Pathology Medicare: Medicare Enrolled Practice Location: 2142 N Cove Blvd, Clm-pathology Lab, Toledo, OH 43606 Phone: 419-534-3500 Fax: 419-534-2608
Sri Krishna Chaitany Arudra, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3000 Arlington Ave, Mail Stop 1068, Toledo, OH 43614 Phone: 419-383-4244
Dr. Gregory M Prince, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3170 W Central Ave, Toledo, OH 43606 Phone: 419-534-3500 Fax: 419-534-2608
Dr. Thomas Morgan Blomquist, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-3478 Fax: 419-383-6183

Dr Nicole Rachel Dominiak, MD - Medicare Pathology in Toledo, OH