Mr Domingo Davalos Davalos, LPC is a medicare enrolled "Counselor - Professional" provider in Dilley, Texas. His current practice location is
213 E Leona St, Dilley, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 965-6393.
Mr Domingo Davalos Davalos is licensed to practice in Texas (license number 68003) 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 1164700647.
Healthcare Provider's Profile
Full Name | Mr Domingo Davalos Davalos |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 213 E Leona St, Dilley, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164700647
- Provider Enumeration Date: 08/01/2011
- Last Update Date: 08/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 6204272545
- Enrollment ID: I20240309000086
Medical Identifiers
Medical identifiers for Mr Domingo Davalos Davalos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164700647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 68003 (Texas) | 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. Mr Domingo Davalos Davalos allows following entities to bill medicare on his behalf.
Entity Name | Vida Y Salud - Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20110307000305 |
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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. Mr Domingo Davalos Davalos 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 Domingo Davalos Davalos, LPC 213 E Leona St, Dilley, TX 78017-3938 Ph: (830) 965-6393 | Mr Domingo Davalos Davalos, LPC 213 E Leona St, Dilley, TX 78017-3938 Ph: (830) 965-6393 |
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