Olivia Domingue, MD is a
Student In An Organized Health Care Education/training Program physician based in Providence, Rhode Island. Olivia Domingue is licensed to practice in * (Not Available) (license number ) and her current practice location is 593 Eddy St, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 793-2695.
NPI number for Olivia Domingue is 1063209294 and her current mailing address is 593 Eddy St, Providence, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063209294.
Physician's Profile
Full Name | Olivia Domingue |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 593 Eddy St, Providence, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063209294
- Provider Enumeration Date: 04/22/2025
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Olivia Domingue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063209294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD12345 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Olivia Domingue is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Olivia Domingue, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 793-2695 | Olivia Domingue, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 793-2695 |
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