Mr Domingo Gonzales Javier, MD is a medicare enrolled "General Practice" physician in Bluefield, West Virginia. His current practice location is
1701 Jefferson St, Bluefield, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 325-5755.
Mr Domingo Gonzales Javier is licensed to practice in West Virginia (license number 10588) 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 1699872135.
Physician's Profile
| Full Name | Mr Domingo Gonzales Javier |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1701 Jefferson St, Bluefield, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699872135
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486820370
- Enrollment ID: I20111227000121
Medical Identifiers
Medical identifiers for Mr Domingo Gonzales Javier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699872135 | NPI | - | NPPES |
| 1022384 | Other | WV | WORKERS COMP |
| 851945 | Other | | MAMSI |
| 062480 | Other | VA | BC ANTHEM |
| 103541 | Other | | BLACK LUNG |
| 7350431 | Other | VA | VA MED ASSIS |
| 0472131 | Other | | UMWA FUNDS |
| V000267 | Other | | CHAMPUS |
| 0127512000 | Medicaid | WV | |
| 4454937 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 10588 (West Virginia) | 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. Mr Domingo Gonzales Javier allows following entities to bill medicare on his behalf.
| Entity Name | Domingo G Javier Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588755813 PECOS PAC ID: 3173799137 Enrollment ID: O20111222000438 |
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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. Mr Domingo Gonzales Javier 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 |
Mr Domingo Gonzales Javier, MD 1701 Jefferson St, Bluefield, WV 24701-1701 Ph: (304) 325-5755 | Mr Domingo Gonzales Javier, MD 1701 Jefferson St, Bluefield, WV 24701-1701 Ph: (304) 325-5755 |
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