| Maria Paula Domino, MD | |
|
1410 E Woodrow Wilson Ave, Jackson, MS 39216-4500 | |
| (601) 984-5185 | |
| (601) 815-5660 |
| Full Name | Maria Paula Domino |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 1410 E Woodrow Wilson Ave, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699154294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 28767 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Merit Health Madison | Canton, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Paula Domino, MD 504 Clinton Center Dr Ste 4300, Clinton, MS 39056-5610 Ph: (601) 984-5185 | Maria Paula Domino, MD 1410 E Woodrow Wilson Ave, Jackson, MS 39216-4500 Ph: (601) 984-5185 |
Robert Tramel, Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 769-798-4747 | |
Dr. Mark Runnels, Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Ste 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Dr. Michael Tyler Wood, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5101 | |
Dr. Kieran Hynes, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St Ste 301, Jackson, MS 39202 Phone: 601-353-9900 | |
Ronald D Davis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr, Suite 360, Jackson, MS 39216 Phone: 601-200-4370 Fax: 601-200-4375 | |
Joe R. Ross, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1421 N State St, Suite 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Deep Asit Gandhi, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |