Kristin Dominguez, MS, RD, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Hudson, Florida. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Mk Acharya Md Pa And Pm Reddy Md and her current practice location is
14134 Nephron Ln, Hudson, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 863-5418.
Kristin Dominguez is licensed to practice in Florida (license number ND6160) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568128676.
Healthcare Provider's Profile
| Full Name | Kristin Dominguez |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 17 Years |
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| Location | 14134 Nephron Ln, Hudson, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Kristin Dominguez graduated from medical school in 2007
NPI Data:
- NPI Number: 1568128676
- Provider Enumeration Date: 11/12/2021
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709272917
- Enrollment ID: I20220414001629
Medical Identifiers
Medical identifiers for Kristin Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568128676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1005X | Dietitian, Registered - Nutrition, Renal | ND6160 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mk Acharya Md Pa And Pm Reddy Md | 7012981350 | 51 |
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. Kristin Dominguez allows following entities to bill medicare on her behalf.
| Provider Name | Mk Acharya Md Pa & Pm Reddy Md |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780684795
PECOS PAC ID: 7012981350
Enrollment ID: O20040823001373 |
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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. Kristin 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 |
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Kristin Dominguez, MS, RD, LDN
15072 Caravan Ave,
Odessa, FL 33556-4376
Ph: () - | Kristin Dominguez, MS, RD, LDN
14134 Nephron Ln,
Hudson, FL 34667-8554
Ph: (727) 863-5418 |
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