Teresa Domack, MD in Farmington, CT - Medicare Family Practice

Teresa Domack, MD is a medicare enrolled "Family Medicine" physician in Farmington, Connecticut. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wheeler Clinic Inc and her current practice location is 21 South Rd Ste 110, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 284-4945.

Teresa Domack is licensed to practice in Connecticut (license number 62215) 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 1235540386.

Contact Information

	Teresa Domack, MD
	21 South Rd Ste 110, Farmington, CT 06032
	(860) 284-4945
	(860) 284-4946

Map and Direction

Physician's Profile

Full Name	Teresa Domack
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	21 South Rd Ste 110, Farmington, Connecticut
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:

Teresa Domack graduated from medical school in 2013

NPI Data:

NPI Number: 1235540386
Provider Enumeration Date: 05/12/2014
Last Update Date: 03/29/2019

Medicare PECOS Information:

PECOS PAC ID: 6204050412
Enrollment ID: I20190405000728

Medical Identifiers

Medical identifiers for Teresa Domack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235540386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	62215 (Connecticut)	Secondary
207Q00000X	Family Medicine	62215 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wheeler Clinic Inc	0345147153	69

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. Teresa Domack allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

Entity Name	Middlesex Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851350664 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000518

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. Teresa Domack 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
Teresa Domack, MD 21 South Rd Ste 110, Farmington, CT 06032-2482 Ph: (860) 284-4945	Teresa Domack, MD 21 South Rd Ste 110, Farmington, CT 06032 Ph: (860) 284-4945

Reviews and Comments

Family Medicine Doctors in Farmington, CT

Carson Wright, PHYSCIAN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Munson Rd University Of Connecticut, Correctional Managed Health Care, Farmington, CT 06030 Phone: 860-763-6588
Marc S Croteau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Uconn/occupational Medicine Associates, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587
Dr. Demetra Eleftheriou, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Farm Glen Blvd, Farmington, CT 06032 Phone: 860-284-5266 Fax: 860-409-4077
Montgomery Bernard Douglas, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-4474
Dr. Hyoungsup Park, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 599 Famington Ave, Farmington, CT 06032 Phone: 608-284-4945 Fax: 860-284-4946
Dr. Timothy Stephen Lishnak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770
Wahila Alam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770

Teresa Domack, MD - Medicare Family Practice in Farmington, CT