Mark Anthony Dominguez, MA PSYCH LMFT135452 in Bakersfield, CA - Medicare Marriage & Family Therapist Provider

Mark Anthony Dominguez, MA PSYCH LMFT135452 is a medicare enrolled "Marriage & Family Therapist" provider in Bakersfield, California. His current practice location is 1522 18th St Ste 300, Bakersfield, California. You can reach out to his office (for appointments etc.) via phone at (661) 865-2352.

Mark Anthony Dominguez is licensed to practice in California (license number LMFT135452) 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 1124276191.

Contact Information

	Mark Anthony Dominguez, MA PSYCH LMFT135452
	1522 18th St Ste 300, Bakersfield, CA 93301-4433
	(661) 865-2352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Anthony Dominguez
Gender	Male
Speciality	Marriage & Family Therapist
Location	1522 18th St Ste 300, Bakersfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124276191
Provider Enumeration Date: 09/03/2008
Last Update Date: 06/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5092157826
Enrollment ID: I20240524002524

Medical Identifiers

Medical identifiers for Mark Anthony Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124276191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT135452 (California)	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. Mark Anthony Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Mark Anthony 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
Mark Anthony Dominguez, MA PSYCH LMFT135452 6505 Bridgeport Ln, Bakersfield, CA 93309-3404 Ph: (661) 865-2352	Mark Anthony Dominguez, MA PSYCH LMFT135452 1522 18th St Ste 300, Bakersfield, CA 93301-4433 Ph: (661) 865-2352

Reviews and Comments

Marriage & Family Therapist in Bakersfield, CA

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Mark Anthony Dominguez, MA PSYCH LMFT135452 - Medicare Couples Therapy in Bakersfield, CA