Wayne E Domenick, DC is a medicare enrolled "Chiropractor" provider in Goodrich, Michigan. He went to Palmer College Chiropractic - Davenport and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. His current practice location is
9037 S State Rd, Goodrich, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 636-2190.
Wayne E Domenick is licensed to practice in Michigan (license number 2301008818) 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 1396743852.
Healthcare Provider's Profile
| Full Name | Wayne E Domenick |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 9037 S State Rd, Goodrich, Michigan |
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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:
- Wayne E Domenick attended and graduated from Palmer College Chiropractic - Davenport in 2004
NPI Data:
- NPI Number: 1396743852
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406819374
- Enrollment ID: I20041111000072
Medical Identifiers
Medical identifiers for Wayne E Domenick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396743852 | NPI | - | NPPES |
| 4724081 | Medicaid | MI | |
| 0999848 | Other | MI | HEALTH PLUS |
| 950B514920 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2301008818 (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. Wayne E Domenick allows following entities to bill medicare on his behalf.
| Provider Name | Domenick Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780724070
PECOS PAC ID: 3476659012
Enrollment ID: O20070427000551 |
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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. Wayne E Domenick 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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Wayne E Domenick, DC
9037 S State Rd,
Goodrich, MI 48438-8869
Ph: (810) 636-2190 | Wayne E Domenick, DC
9037 S State Rd,
Goodrich, MI 48438-8869
Ph: (810) 636-2190 |
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