Fernando B Domondon Jr, MD in Orchard Park, NY

Fernando B Domondon Jr, MD is a medicare enrolled "Emergency Medicine" physician in Orchard Park, New York. His current practice location is S 3669 Southwestern Blvd, Mercy Ambulatory Care Center, Orchard Park, New York. You can reach out to his office (for appointments etc.) via phone at (716) 204-4500.

Fernando B Domondon Jr is licensed to practice in New York (license number 196197) 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 1013969492.

Contact Information

	Fernando B Domondon Jr, MD
	S 3669 Southwestern Blvd, Mercy Ambulatory Care Center, Orchard Park, NY 14127
	(716) 204-4500
	(716) 204-4501

Map and Direction

Physician's Profile

Full Name	Fernando B Domondon Jr
Gender	Male
Speciality	Emergency Medicine
Location	S 3669 Southwestern Blvd, Orchard Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013969492
Provider Enumeration Date: 05/16/2006
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8325177439
Enrollment ID: I20100528000218

Medical Identifiers

Medical identifiers for Fernando B Domondon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013969492	NPI	-	NPPES
01610939	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	196197-1 (New York)	Secondary
207P00000X	Emergency Medicine	196197 (New York)	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. Fernando B Domondon Jr allows following entities to bill medicare on his behalf.

Entity Name	Buffalo Emergency Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508816521 PECOS PAC ID: 4981502515 Enrollment ID: O20031222000057

Entity Name	Western New York Immediate Medical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316014491 PECOS PAC ID: 9537105283 Enrollment ID: O20050701000872

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. Fernando B Domondon 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
Fernando B Domondon Jr, MD 6653 Main St, Williamsville, NY 14221-5906 Ph: (716) 204-4500	Fernando B Domondon Jr, MD S 3669 Southwestern Blvd, Mercy Ambulatory Care Center, Orchard Park, NY 14127 Ph: (716) 204-4500

Reviews and Comments

Emergency Medicine Doctors in Orchard Park, NY

Milton L Pozo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-821-4513
Thomas M Kowalak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-688-2154 Fax: 716-204-4501
Dr. Michael Thomas Mangione Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3669 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-821-4513
Liane Catherine Kirchberger, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4988 Fax: 716-817-1719
Dr. Joshua Jeremiah Lynch, DO, EMT-P Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127 Phone: 716-677-2575 Fax: 716-677-2576
Dr. Teresa M. Ainsworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3176 Abbott Rd Unit 500, Orchard Park, NY 14127 Phone: 716-822-2117

Fernando B Domondon Jr, MD - Medicare Emergency Medicine in Orchard Park, NY