Dr Daniel Domjan, MD is a medicare enrolled "General Practice" provider in Sikeston, Missouri. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1972 and has 52 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Missouri Health Network and his current practice location is
200 Southland Dr, Sikeston, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 472-1770.
Dr Daniel Domjan is licensed to practice in Missouri (license number 118085) 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 1235119215.
Healthcare Provider's Profile
| Full Name | Dr Daniel Domjan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 52 Years |
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| Location | 200 Southland Dr, Sikeston, Missouri |
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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:
- Dr Daniel Domjan attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1972
NPI Data:
- NPI Number: 1235119215
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 03/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022907740
- Enrollment ID: I20070730000112
Medical Identifiers
Medical identifiers for Dr Daniel Domjan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235119215 | NPI | - | NPPES |
| 204706030 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 118085 (Missouri) | Secondary |
| 208D00000X | General Practice | 118085 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Missouri Health Network | 6507818044 | 18 |
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. Dr Daniel Domjan allows following entities to bill medicare on his behalf.
| Provider Name | Southeast Missouri Health Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609095975
PECOS PAC ID: 6507818044
Enrollment ID: O20050412000011 |
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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. Dr Daniel Domjan 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 |
|---|
Dr Daniel Domjan, MD
6738 State Highway 77,
Benton, MO 63736-8238
Ph: (573) 313-2500 | Dr Daniel Domjan, MD
200 Southland Dr,
Sikeston, MO 63801-4403
Ph: (573) 472-1770 |
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