Edward S Domurat Jr, MD in Harbor City, CA - Medicare Internal Medicine

Edward S Domurat Jr, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Harbor City, California. His current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at (310) 325-5111.

Edward S Domurat Jr is licensed to practice in California (license number G56588) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134290059.

Contact Information

	Edward S Domurat Jr, MD
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 325-5111
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward S Domurat Jr
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	25825 Vermont Ave, Harbor City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134290059
Provider Enumeration Date: 11/13/2006
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3375668841
Enrollment ID: I20100921000857

Medical Identifiers

Medical identifiers for Edward S Domurat Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134290059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	G56588 (California)	Primary

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. Edward S Domurat Jr allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Edward S Domurat Jr 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
Edward S Domurat Jr, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111	Edward S Domurat Jr, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111

Reviews and Comments

Internal Medicine Doctors in Harbor City, CA

Randel R. King, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Ryokei K. Imai, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Jennifer Wing-yun Lam, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Jeffrey L. Wang, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Dr. Lawrence R Tom, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 424-251-7140
Howard K. Baik, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Morgan Y. Chen, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Edward S Domurat Jr, MD - Medicare Internal Medicine in Harbor City, CA