Mr Jeremy C Domina, OTR in Hanover, NH - Medicare Occupational Therapy Provider

Mr Jeremy C Domina, OTR is a medicare enrolled "Occupational Therapist" provider in Hanover, New Hampshire. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Integrated Rehabilitation Group Pc and his current practice location is 49 Lyme Rd, Hanover, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 643-2854.

Mr Jeremy C Domina is licensed to practice in New Hampshire (license number 1702) 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 1720255201.

Contact Information

	Mr Jeremy C Domina, OTR
	49 Lyme Rd, Hanover, NH 03755-1205
	(603) 643-2854
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremy C Domina
Gender	Male
Speciality	Occupational Therapy
Experience	21 Years
Location	49 Lyme Rd, Hanover, New Hampshire
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeremy C Domina graduated from medical school in 2003

NPI Data:

NPI Number: 1720255201
Provider Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008

Medicare PECOS Information:

PECOS PAC ID: 0648418509
Enrollment ID: I20130604000831

Medical Identifiers

Medical identifiers for Mr Jeremy C Domina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720255201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1702 (New Hampshire)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Rehabilitation Group Pc	0042111718	148

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. Mr Jeremy C Domina allows following entities to bill medicare on his behalf.

Provider Name	Integrated Rehabilitation Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944

Provider Name	South Sound Physical & Hand Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548217631 PECOS PAC ID: 6709774631 Enrollment ID: O20040310000846

Provider Name	Snohomish Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487692398 PECOS PAC ID: 3476547100 Enrollment ID: O20040414000418

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. Mr Jeremy C Domina 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
Mr Jeremy C Domina, OTR 227 Old Route 15, Cambridge, VT 05444-9772 Ph: (802) 310-1511	Mr Jeremy C Domina, OTR 49 Lyme Rd, Hanover, NH 03755-1205 Ph: (603) 643-2854

Reviews and Comments

Occupational Therapist in Hanover, NH

Kasey Malasky, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Lyme Rd, Hanover, NH 03755 Phone: 603-643-2854
Erin M Mcgeggen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Lyme Rd, Hanover, NH 03755 Phone: 603-643-2854
Valori Petrin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 67 Cummings Rd, Hanover, NH 03755 Phone: 603-653-8546
Amber L Porter, OTR, FNP, APRN Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 67 Cummings Road, Hanover, NH 03755 Phone: 603-650-8123
Christopher Liebl, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Lyme Rd, Hanover, NH 03755 Phone: 603-643-2854

Mr Jeremy C Domina, OTR - Medicare Occupational Therapist in Hanover, NH