Jaime David Dominguez-cespedes, MD is a medicare enrolled "Internal Medicine" physician in Quincy, Washington. His current practice location is
908 10th Ave Sw, Quincy, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 787-3531.
Jaime David Dominguez-cespedes is licensed to practice in Washington (license number MD00049366) 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 1306066790.
Physician's Profile
| Full Name | Jaime David Dominguez-cespedes |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 908 10th Ave Sw, Quincy, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306066790
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 3476615097
- Enrollment ID: I20081216000348
Medical Identifiers
Medical identifiers for Jaime David Dominguez-cespedes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306066790 | NPI | - | NPPES |
| 8517237 | Medicaid | WA | |
| 8947901 | Other | WA | CV |
| 237692 | Other | WA | LABOR & INDUSTRIES |
| 237692 | Other | WA | L&I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD00049366 (Washington) | 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. Jaime David Dominguez-cespedes allows following entities to bill medicare on his behalf.
| Entity Name | Grant County Hospital District No. 2 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659445468
PECOS PAC ID: 8921919077
Enrollment ID: O20040116000955 |
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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. Jaime David Dominguez-cespedes 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 |
|---|
Jaime David Dominguez-cespedes, MD
908 10th Ave Sw,
Quincy, WA 98848-1376
Ph: (509) 787-3531 | Jaime David Dominguez-cespedes, MD
908 10th Ave Sw,
Quincy, WA 98848-1376
Ph: (509) 787-3531 |
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