Melissa Ann Domingo, OTRL in Allen Park, MI - Medicare Occupational Therapist Provider

Melissa Ann Domingo, OTRL is a medicare enrolled "Occupational Therapist - Gerontology" provider in Allen Park, Michigan. Her current practice location is 9150 Allen Rd, Allen Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 386-2150.

Melissa Ann Domingo is licensed to practice in Michigan (license number 5201007932) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578034153.

Contact Information

	Melissa Ann Domingo, OTRL
	9150 Allen Rd, Allen Park, MI 48101-1436
	(313) 386-2150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Ann Domingo
Gender	Female
Speciality	Occupational Therapist - Gerontology
Location	9150 Allen Rd, Allen Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578034153
Provider Enumeration Date: 12/08/2018
Last Update Date: 12/08/2018

Medicare PECOS Information:

PECOS PAC ID: 0345751780
Enrollment ID: I20250613001218

Medical Identifiers

Medical identifiers for Melissa Ann Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578034153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	5201007932 (Michigan)	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. Melissa Ann Domingo allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457868937 PECOS PAC ID: 6507832573 Enrollment ID: O20180205002852

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. Melissa Ann Domingo 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
Melissa Ann Domingo, OTRL 9150 Allen Rd, Allen Park, MI 48101-1436 Ph: () -	Melissa Ann Domingo, OTRL 9150 Allen Rd, Allen Park, MI 48101-1436 Ph: (313) 386-2150

Reviews and Comments

Occupational Therapist in Allen Park, MI

Ms. Kristie Marie Gasiorek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10101 Kolb Ave, Allen Park, MI 48101 Phone: 313-673-6291
Kari Fabyan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Allen Rd, Allen Park, MI 48101 Phone: 313-386-2150
Colleen A. Kunz Otrl, Pllc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15827 Pleasant Ave, Allen Park, MI 48101 Phone: 313-443-0528 Fax: 313-908-7270
Lisa Ann-marie Garcia-watson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Allen Rd, Allen Park, MI 48101 Phone: 313-386-2150
Jill Marie Morgan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Allen Rd, Allen Park, MI 48101 Phone: 313-386-2150
Jennifer Lynn Rod, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Allen Rd, Allen Park, MI 48101 Phone: 313-386-2150 Fax: 313-334-4910

Melissa Ann Domingo, OTRL - Medicare Occupational Therapist in Allen Park, MI