Laura Marie Dominguez, MD in Southlake, TX

Laura Marie Dominguez, MD is a medicare enrolled "Otolaryngology" physician in Southlake, Texas. She went to University Of Texas Medical School At San Antonio and graduated in 2009 and has 16 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice The Ent And Allergy Centers Of Texas, Pllc and her current practice location is 300 S Nolen Dr Ste 100, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 989-2400.

Laura Marie Dominguez is licensed to practice in Texas (license number P9329) 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 1649407925.

Contact Information

	Laura Marie Dominguez, MD
	300 S Nolen Dr Ste 100, Southlake, TX 76092-8057
	(817) 989-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Laura Marie Dominguez
Gender	Female
Speciality	Otolaryngology
Experience	16 Years
Location	300 S Nolen Dr Ste 100, Southlake, Texas
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:

Laura Marie Dominguez attended and graduated from University Of Texas Medical School At San Antonio in 2009

NPI Data:

NPI Number: 1649407925
Provider Enumeration Date: 06/15/2009
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0143469502
Enrollment ID: I20140715002257

Medical Identifiers

Medical identifiers for Laura Marie Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649407925	NPI	-	NPPES
336345902	Other	TX	CSHCN
336345901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	P9329 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hurst-euless-bedford	Bedford, TX	Hospital
Baylor Scott & White Medical Center Grapevine	Grapevine, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Ent And Allergy Centers Of Texas, Pllc	4385709054	49

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. Laura Marie Dominguez allows following entities to bill medicare on her behalf.

Entity Name	The University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

Entity Name	The Ent & Allergy Centers Of Texas, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144470873 PECOS PAC ID: 4385709054 Enrollment ID: O20090212000145

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. Laura Marie Dominguez 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
Laura Marie Dominguez, MD 300 S Nolen Dr Ste 100, Southlake, TX 76092-8057 Ph: (817) 989-2400	Laura Marie Dominguez, MD 300 S Nolen Dr Ste 100, Southlake, TX 76092-8057 Ph: (817) 989-2400

Reviews and Comments

Otolaryngology Doctors in Southlake, TX

Dr. Michael Dennis Bryan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 660 W Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-416-9731 Fax: 817-416-9751
Amy Mettman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 660 W Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-416-9731 Fax: 817-416-9751
Dr. Mary Gajewski Ashmead, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 300 S Nolen Dr Ste 100, Southlake, TX 76092 Phone: 817-989-2400 Fax: 817-549-8463
Dr. Jordan Rihani, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 521w Southlake Blvd 175, Southlake, TX 76092 Phone: 214-444-3697
Dr. Sneha Goswami Giri, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 300 S Nolen Dr Ste 100, Southlake, TX 76092 Phone: 817-989-2400 Fax: 855-583-3789

Laura Marie Dominguez, MD - Medicare Otolaryngology in Southlake, TX