Justin Domenico, - Medicare Physician Assistant in Wynnewood, PA

Justin Domenico, is a medicare enrolled "Physician Assistant" in Wynnewood, Pennsylvania. His current practice location is 100 E Lancaster Ave, Wynnewood, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 476-2000.

Justin Domenico is licensed to practice in * (Not Available) (license number ) 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 1053960690.

Contact Information

Justin Domenico,
100 E Lancaster Ave,
Wynnewood, PA 19096-3450
(484) 476-2000
Not Available

Map and Direction




Provider's Profile

Full NameJustin Domenico
GenderMale
SpecialityPhysician Assistant
Location100 E Lancaster Ave, Wynnewood, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053960690
  • Provider Enumeration Date: 09/06/2019
  • Last Update Date: 09/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8224462437
  • Enrollment ID: I20191221000453

Medical Identifiers

Medical identifiers for Justin Domenico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053960690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Justin Domenico 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 AddressPractice Location Address
Justin Domenico,
631 Villa Rd,
Drexel Hill, PA 19026-1435

Ph: () -
Justin Domenico,
100 E Lancaster Ave,
Wynnewood, PA 19096-3450

Ph: (484) 476-2000

Reviews and Comments


Physician Assistant Nurses in Wynnewood, PA

Sarah Elizabeth Baker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: 484-476-2000    
Mrs. Angela D Feldser, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: 540-446-6851    
Ms. Sarah Emily Danner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096
Phone: 484-476-8390    Fax: 484-476-7841
Brandon Eberts, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave Ste 252, Wynnewood, PA 19096
Phone: 610-896-7360    Fax: 610-896-5207
Katherine Anne Mcgovern, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: 484-565-1048    Fax: 484-565-2044
Jilda Ann Opczynski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096
Phone: 484-476-1000    Fax: 484-476-9000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.