Jose Ali Hernandez Dominguez, LMFT in Winterville, NC - Medicare Marriage & Family Therapist Provider

Jose Ali Hernandez Dominguez, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Winterville, North Carolina. His current practice location is 150 E Fire Tower Rd Ste C, Winterville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (202) 424-3255.

Jose Ali Hernandez Dominguez is licensed to practice in North Carolina (license number 10407A) 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 1609579804.

Contact Information

	Jose Ali Hernandez Dominguez, LMFT
	150 E Fire Tower Rd Ste C, Winterville, NC 28590-8330
	(202) 424-3255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jose Ali Hernandez Dominguez
Gender	Male
Speciality	Marriage & Family Therapist
Location	150 E Fire Tower Rd Ste C, Winterville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609579804
Provider Enumeration Date: 03/24/2023
Last Update Date: 06/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1052752193
Enrollment ID: I20240507003820

Medical Identifiers

Medical identifiers for Jose Ali Hernandez Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609579804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	10407A (North Carolina)	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. Jose Ali Hernandez Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Greene County Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891798054 PECOS PAC ID: 0648189001 Enrollment ID: O20040117000030

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. Jose Ali Hernandez Dominguez 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
Jose Ali Hernandez Dominguez, LMFT 150 E Fire Tower Rd Ste C, Winterville, NC 28590-8330 Ph: (202) 424-3255	Jose Ali Hernandez Dominguez, LMFT 150 E Fire Tower Rd Ste C, Winterville, NC 28590-8330 Ph: (202) 424-3255

Reviews and Comments

Marriage & Family Therapist in Winterville, NC

Amanda Marie Lionelli, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 E Fire Tower Rd Ste C, Winterville, NC 28590 Phone: 252-933-4203
Ta'nishia Jones Dixon, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2902 Little Gem Cir, Winterville, NC 28590 Phone: 252-215-0589
Tomha Mcmillan, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2403 Chippenham Court, Winterville, NC 28590 Phone: 252-412-6613
Prof. John Dougherty, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Firetower Rd Ste D, Winterville, NC 28590 Phone: 252-830-3300 Fax: 252-830-3322

Jose Ali Hernandez Dominguez, LMFT - Medicare Couples Therapy in Winterville, NC