| Dr Vitaliy Domashevich, MD | |
|
14100 E Arapahoe Rd, Suite B110, Centennial, CO 80112-4028 | |
| (720) 870-7446 | |
| (720) 870-7460 |
| Full Name | Dr Vitaliy Domashevich |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 14100 E Arapahoe Rd, Centennial, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235165440 | NPI | - | NPPES |
| 0971244 | Medicaid | CO | |
| 1235165400 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD28222 (Maine) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 41756 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | 041756 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kauai Medical Clinic | 5092628479 | 131 |
| Entity Name | Kauai Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vitaliy Domashevich, MD Po Box 3405, Greenwood Village, CO 80155-3405 Ph: (720) 870-7446 | Dr Vitaliy Domashevich, MD 14100 E Arapahoe Rd, Suite B110, Centennial, CO 80112-4028 Ph: (720) 870-7446 |
Dr. Shelbey Scott Cook, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3215 E Hinsdale Pl, Centennial, CO 80122 Phone: 303-746-2968 | |
Michael Gesquiere, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14100 E Arapahoe Rd, Suite B110, Centennial, CO 80112 Phone: 700-870-7446 Fax: 720-870-7460 | |
Russell Buesing, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7987 S Clayton Cir, Centennial, CO 80122 Phone: 303-807-3093 | |
Wendy Dowdeswell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14100 E Arapahoe Rd, Peak Anesthesia And Pain Management, Centennial, CO 80112 Phone: 720-870-7446 Fax: 720-870-7460 | |
Dr. Steven Garrett Sullivan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 14100 E Arapahoe Rd, Suite B110, Centennial, CO 80112 Phone: 720-870-7446 Fax: 720-870-7460 |