Marina Domatova, MD in Macungie, PA - Medicare Emergency Medicine

Marina Domatova, MD is a medicare enrolled "Emergency Medicine" physician in Macungie, Pennsylvania. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Pennsylvania Physician Services, Llc and her current practice location is 3369 Route 100, Macungie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 402-8111.

Marina Domatova is licensed to practice in Pennsylvania (license number MD486114) 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 1235369265.

Contact Information

	Marina Domatova, MD
	3369 Route 100, Macungie, PA 18062-9613
	(610) 402-8111
	Not Available

Map and Direction

Physician's Profile

Full Name	Marina Domatova
Gender	Female
Speciality	Emergency Medicine
Experience	8 Years
Location	3369 Route 100, Macungie, Pennsylvania
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:

Marina Domatova graduated from medical school in 2018

NPI Data:

NPI Number: 1235369265
Provider Enumeration Date: 07/24/2009
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 6305269606
Enrollment ID: I20240920001401

Medical Identifiers

Medical identifiers for Marina Domatova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235369265	NPI	-	NPPES
32484	Other	WV	LICENSE
012873	Other	NY	LICENSE
D0095827	Other	MD	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD486114 (Pennsylvania)	Primary
207P00000X	Emergency Medicine	32484 (West Virginia)	Secondary
363AM0700X	Physician Assistant - Medical	012873 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regional Hospital Of Scranton	Scranton, PA	Hospital
Wilkes-barre General Hospital	Wilkes-barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pennsylvania Physician Services, Llc	1153507025	14

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. Marina Domatova allows following entities to bill medicare on her behalf.

Entity Name	Pennsylvania Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343

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. Marina Domatova 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
Marina Domatova, MD 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: () -	Marina Domatova, MD 3369 Route 100, Macungie, PA 18062-9613 Ph: (610) 402-8111

Reviews and Comments

Emergency Medicine Doctors in Macungie, PA

Basil M Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18062 Phone: 610-402-8111
Marcin Ciesla, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18062 Phone: 610-402-8111
Dr. Ryan B Taylor, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18062 Phone: 610-402-8111
Duc Dang, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18062 Phone: 610-402-8111
Dr. James A Caffrey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18062 Phone: 610-402-8111
Andrew William Mulvey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3369 State Route 100, Macungie, PA 18064 Phone: 610-402-8111

Marina Domatova, MD - Medicare Emergency Medicine in Macungie, PA