Thomas Joseph Dominguez Iv, is a medicare enrolled "Physician Assistant - Surgical" physician in Fort Pierce, Florida. His current practice location is
2401 Frist Blvd Ste 5, Fort Pierce, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 465-8100.
Thomas Joseph Dominguez Iv is licensed to practice in Connecticut (license number 4269) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568945004.
Physician's Profile
| Full Name | Thomas Joseph Dominguez Iv |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2401 Frist Blvd Ste 5, Fort Pierce, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas Joseph Dominguez Iv attended and graduated from in
NPI Data:
- NPI Number: 1568945004
- Provider Enumeration Date: 09/11/2018
- Last Update Date: 10/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Thomas Joseph Dominguez Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568945004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4269 (Connecticut) | Secondary |
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 4269 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 4269 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | 4269 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 4269 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 4269 (Connecticut) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4269 (Connecticut) | Primary |
| 363A00000X | Physician Assistant | PA9113032 (Florida) | Secondary |
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. Thomas Joseph Dominguez Iv 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 |
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Thomas Joseph Dominguez Iv,
2401 Frist Blvd Ste 5,
Fort Pierce, FL 34950-4800
Ph: (772) 465-8100 | Thomas Joseph Dominguez Iv,
2401 Frist Blvd Ste 5,
Fort Pierce, FL 34950-4800
Ph: (772) 465-8100 |
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